Healthcare Provider Details

I. General information

NPI: 1316110828
Provider Name (Legal Business Name): DR ANDRA SCHMIDT FOSTER DC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2008
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 S INDEPENDENCE BLVD SUUITE 105
VIRGINIA BEACH VA
23452-1150
US

IV. Provider business mailing address

5313 BALFOR DR
VIRGINIA BEACH VA
23464-2406
US

V. Phone/Fax

Practice location:
  • Phone: 757-490-2273
  • Fax: 757-490-6001
Mailing address:
  • Phone: 757-490-2273
  • Fax: 757-490-6001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberVA0104001244
License Number StateVA

VIII. Authorized Official

Name: DR. ANDRA SCHMIDT FOSTER
Title or Position: CHIROPRACTOR/OWNER
Credential: CHIROPRACTOR
Phone: 757-490-2273