Provider Demographics
NPI:1114673845
Name:ADJUST NRV, PLLC
Entity Type:Organization
Organization Name:ADJUST NRV, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOGAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BROOKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-225-2321
Mailing Address - Street 1:2000 KRAFT DRIVE
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060
Mailing Address - Country:US
Mailing Address - Phone:540-225-2321
Mailing Address - Fax:
Practice Address - Street 1:2000 KRAFT DRIVE
Practice Address - Street 2:SUITE 1700
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060
Practice Address - Country:US
Practice Address - Phone:540-225-2321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty