MEDICARE: DR. SHEENA MARIE COX D.C.

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	0104556792	VA

General Provider Information

NPI Number	:	1710296959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEENA MARIE COX D.C.

Provider Business Mailing Address
First Line	:	801 POINDEXTER ST
Second Line	:	SUITE 219
City	:	CHESAPEAKE
State	:	VA
Zip	:	23324-2358
Country	:	US
Telephone Number	:	757-304-0575
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 POINDEXTER ST
Second Line	:	SUITE 219
City	:	CHESAPEAKE
State	:	VA
Zip	:	23324-2358
Country	:	US
Telephone Number	:	757-304-0575
Fax Number	:

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

Provider Enumeration Date	:	10/06/2010
Last Update Date	:	04/11/2011

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