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General NPI Number Information
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NPI Number | 1831070697
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Entity Type | Organization
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Legal Business Name | RADIATE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 621 STONEY CREEK LN STE 4
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-0064
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Country | US
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Telephone | 757-298-7505
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Fax |
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Provider Business Mailing Address
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Address Line | 102 FOSTER RD
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City | YORKTOWN
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State | VA
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Zip | 23690-3951
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARITY CHOICE
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Credential | D.C.
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Telephone | 757-506-9551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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