MEDICARE: JOSEPH MARCIL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0164001623	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C09086	OTHER	VA	MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	115137	OTHER	VA	ANTHEM

General Provider Information

NPI Number	:	1437186723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH MARCIL

Provider Business Mailing Address
First Line	:	3809 PRINCESS ANNE RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-1900
Country	:	US
Telephone Number	:	757-471-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3809 PRINCESS ANNE RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-1900
Country	:	US
Telephone Number	:	757-471-2800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	07/08/2007

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Directions to “ JOSEPH MARCIL ” Practice Location

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