Healthcare Provider Details

I. General information

NPI: 1194705400
Provider Name (Legal Business Name): ARVONIA CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 09/13/2018
Certification Date:
Deactivation Date: 08/07/2008
Reactivation Date: 09/13/2018

III. Provider practice location address

26401 N JAMES MADISON HIGHWAY
NEW CANTON VA
23123
US

IV. Provider business mailing address

26401 N JAMES MADISON HIGHWAY
NEW CANTON VA
23123
US

V. Phone/Fax

Practice location:
  • Phone: 434-581-2273
  • Fax: 434-581-2274
Mailing address:
  • Phone: 434-581-2273
  • Fax: 434-581-2274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104002011
License Number StateVA

VIII. Authorized Official

Name: KAREN A CERWINSKI
Title or Position: OWNER
Credential: DC
Phone: 434-581-2273