Provider Demographics
NPI:1205845013
Name:SAVVAS, THEODORE S JR (DC)
Entity Type:Individual
Prefix:DR
First Name:THEODORE
Middle Name:S
Last Name:SAVVAS
Suffix:JR
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 1:1432 N GREAT NECK RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-1342
Mailing Address - Country:US
Mailing Address - Phone:757-481-9221
Mailing Address - Fax:757-481-0854
Practice Address - Street 1:1432 N GREAT NECK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-1342
Practice Address - Country:US
Practice Address - Phone:757-481-9221
Practice Address - Fax:757-481-0854
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000419111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101000419OtherSTATE LICENSE
VA0101000419OtherSTATE LICENSE
VA541401939OtherTAX ID NUMBER
VAT87209Medicare UPIN
VA350000044Medicare ID - Type Unspecified
VA350000044Medicare PIN