Spinal Source Chiropractic LLC
Chiropractor · Suffolk, VA
Practice location
6546 Hampton Roads PkwySuite 112
Suffolk, VA 23435-3185
- Phone
- (757) 642-4945
- Fax
- (757) 977-1039
NPI record
- NPI
- 1982061487
- Entity type
- Organization (Type 2)
- Enumeration date
- January 28, 2016
- Last updated
- May 4, 2017
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
0104-557380 | VA |
| Chiropractor | 111N00000X |
11751 | FL |
| Chiropractor | 111N00000X |
11140 | FL |
| Chiropractor | 111N00000X |
0104-557378 | VA |
Mailing address
6546 Hampton Roads PkwySte 112
Suffolk, VA 23435-3185
- Phone
- (757) 296-2225
- Fax
- (757) 977-1039
Authorized official
- Name
- Dr. Taylor Bollig, D.C.
- Title
- Owner/Chiropractor
- Phone
- (757) 642-4945
About Spinal Source Chiropractic LLC
Spinal Source Chiropractic LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 6546 Hampton Roads Pkwy, Suite 112, Suffolk, VA 23435-3185. The NPI number 1982061487 was assigned on January 28, 2016 and the record was last updated on May 4, 2017.
Spinal Source Chiropractic LLC lists 4 licenses in the registry: #0104-557380 (VA) for Chiropractor; #11751 (FL) for Chiropractor; #11140 (FL) for Chiropractor; #0104-557378 (VA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Taylor Bollig, D.C., Owner/Chiropractor.
Frequently asked questions
What is the NPI number of Spinal Source Chiropractic LLC?
The NPI number is 1982061487.
What is the phone number of Spinal Source Chiropractic LLC?
The phone number listed for the practice location is (757) 642-4945.
Where is Spinal Source Chiropractic LLC located?
6546 Hampton Roads Pkwy, Suite 112, Suffolk, VA 23435-3185.
What is the taxonomy code for Spinal Source Chiropractic LLC?
The primary taxonomy code is 111N00000X – Chiropractor; 3 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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