Healthcare Provider Details

I. General information

NPI: 1942954961
Provider Name (Legal Business Name): HILL CITY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2022
Last Update Date: 03/18/2022
Certification Date: 03/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 LANGHORNE RD STE 202
LYNCHBURG VA
24501-1402
US

IV. Provider business mailing address

2050 LANGHORNE RD STE 202
LYNCHBURG VA
24501-1402
US

V. Phone/Fax

Practice location:
  • Phone: 434-771-2210
  • Fax:
Mailing address:
  • Phone: 434-771-2210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LUCAS DANIEL WERTH
Title or Position: OWNER, CHIROPRACTOR
Credential: DC
Phone: 262-818-7521