Provider Demographics
NPI:1033147798
Name:ALLIANCE CHIROPRACTIC & REHABILITATION
Entity Type:Organization
Organization Name:ALLIANCE CHIROPRACTIC & REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:BUSANTE
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:757-460-7870
Mailing Address - Street 1:2020 S INDEPENDENCE BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23453-4776
Mailing Address - Country:US
Mailing Address - Phone:757-460-7870
Mailing Address - Fax:757-460-7871
Practice Address - Street 1:2020 S INDEPENDENCE BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23453-4776
Practice Address - Country:US
Practice Address - Phone:757-460-7870
Practice Address - Fax:757-460-7871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556350111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7894655OtherAETNA
VA179315OtherANTHEM BCBS PROVIDER NUMB
VA0583462OtherCIGNA
VA7894655OtherAETNA
VAV03890Medicare UPIN