Provider Demographics
NPI:1043760747
Name:GLASGOW, ROBERT ARTHUR V (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ARTHUR
Last Name:GLASGOW
Suffix:V
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 POCOSHOCK PL
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-6356
Mailing Address - Country:US
Mailing Address - Phone:804-745-1605
Mailing Address - Fax:804-745-1802
Practice Address - Street 1:2505 POCOSHOCK PL STE 101
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-6356
Practice Address - Country:US
Practice Address - Phone:804-745-1605
Practice Address - Fax:804-745-1802
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor