Provider Demographics
NPI:1275601924
Name:A-C CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:A-C CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CASON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-433-6909
Mailing Address - Street 1:2202 JOHN WAYLAND HWY
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-4510
Mailing Address - Country:US
Mailing Address - Phone:540-433-6909
Mailing Address - Fax:540-564-2989
Practice Address - Street 1:2202 JOHN WAYLAND HWY
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4510
Practice Address - Country:US
Practice Address - Phone:540-433-6909
Practice Address - Fax:540-564-2989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000637111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA084566OtherANTHEM BCBS
VA084565OtherANTHEM BCBS
VA09428400000OtherSOUTHERN HEALTH
VA350016156OtherRAILROAD MEDICARE
VAT21916Medicare UPIN
VA350000171Medicare ID - Type Unspecified