Healthcare Provider Details

I. General information

NPI: 1780225045
Provider Name (Legal Business Name): RYAN DOUGLAS TURNEWITSCH ND, BCB
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2019
Last Update Date: 05/05/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 FISHER ARCH SUITE 140
VIRGINIA BEACH VA
23456
US

IV. Provider business mailing address

2041 FISHER ARCH SUITE 140
VIRGINIA BEACH VA
23456
US

V. Phone/Fax

Practice location:
  • Phone: 757-301-6985
  • Fax:
Mailing address:
  • Phone: 757-301-6985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberAHC-NAT-LIC-1961
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: