Provider Demographics
NPI:1194015289
Name:COX CHIROPRACTIC WELLNESS CENTER
Entity Type:Organization
Organization Name:COX CHIROPRACTIC WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-304-0575
Mailing Address - Street 1:801 POINDEXTER ST
Mailing Address - Street 2:SUITE 219
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-2358
Mailing Address - Country:US
Mailing Address - Phone:757-304-0575
Mailing Address - Fax:757-351-1930
Practice Address - Street 1:801 POINDEXTER ST
Practice Address - Street 2:SUITE 219
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23324-2358
Practice Address - Country:US
Practice Address - Phone:757-304-0575
Practice Address - Fax:757-351-1930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556792261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center