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NPI Code Detail

MEDICARE: BRAIN & BODY HEALTH CENTER

MEDICARE: BRAIN & BODY HEALTH CENTER
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1710235189
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRAIN & BODY HEALTH CENTER
Provider Business Mailing Address
First Line : 611 W JUBAL EARLY DR STE A
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-6501
Country : US
Telephone Number : 540-678-1212
Fax Number : 540-678-1123
Provider Business Practice Location Address
First Line : 611 W JUBAL EARLY DR STE A
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-6501
Country : US
Telephone Number : 540-678-1212
Fax Number : 540-678-1123
Authorized Official
Title or Position : PARTNER
Name : MS. ERICA K WITGEN
Credential : DC
Telephone Number : 517-282-2627
Provider Enumeration Date : 08/16/2012
Last Update Date : 08/12/2014

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Directions to “BRAIN & BODY HEALTH CENTER ” Practice Location

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