Healthcare Provider Details

I. General information

NPI: 1720159718
Provider Name (Legal Business Name): HUTTON CHIROPRACTIC HEALTH CENTER OF MARSHALL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 09/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8430 WEST MAIN STREET
MARSHALL VA
20115
US

IV. Provider business mailing address

PO BOX 1053
MARSHALL VA
20116
US

V. Phone/Fax

Practice location:
  • Phone: 540-364-2045
  • Fax: 540-364-3860
Mailing address:
  • Phone: 540-364-2045
  • Fax: 540-364-3860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104000463
License Number StateVA

VIII. Authorized Official

Name: DR. JAMES CARLTON HUTTON
Title or Position: OWNER PRESIDENT
Credential: DC
Phone: 540-364-2045