Provider Demographics
NPI:1245379684
Name:ANANIA, VINCENT A (DC)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:A
Last Name:ANANIA
Suffix:
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 1:755 THIMBLE SHOALS BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-3560
Mailing Address - Country:US
Mailing Address - Phone:757-873-2225
Mailing Address - Fax:757-873-2230
Practice Address - Street 1:755 THIMBLE SHOALS BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3560
Practice Address - Country:US
Practice Address - Phone:757-873-2225
Practice Address - Fax:757-873-2230
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA- 0104000900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA350000796Medicare ID - Type Unspecified