Healthcare Provider Details

I. General information

NPI: 1326783812
Provider Name (Legal Business Name): ANSH CHIROPRACTIC & WELLNESS PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2022
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11391 NUCKOLS RD STE C
GLEN ALLEN VA
23059-5684
US

IV. Provider business mailing address

11391 NUCKOLS RD STE C
GLEN ALLEN VA
23059-5684
US

V. Phone/Fax

Practice location:
  • Phone: 804-215-6183
  • Fax:
Mailing address:
  • Phone: 804-215-6183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NEEMISHA DESAI
Title or Position: OWNER
Credential: DC
Phone: 804-215-6183