Provider Demographics
NPI:1043786635
Name:VIRGINIA ARMSTRONG, INC
Entity Type:Organization
Organization Name:VIRGINIA ARMSTRONG, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-386-8308
Mailing Address - Street 1:4811 N BRADY ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52806-3974
Mailing Address - Country:US
Mailing Address - Phone:563-386-8308
Mailing Address - Fax:563-386-4650
Practice Address - Street 1:4811 N BRADY ST STE 1A
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-3974
Practice Address - Country:US
Practice Address - Phone:563-386-8308
Practice Address - Fax:563-386-4650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
10881987OtherCAQH