Provider Demographics
NPI:1275663619
Name:SLONE CHIROPRACTIC CLINIC P.C.
Entity Type:Organization
Organization Name:SLONE CHIROPRACTIC CLINIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LONNIE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:SLONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-623-7776
Mailing Address - Street 1:111 W VIRGINIA BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2005
Mailing Address - Country:US
Mailing Address - Phone:757-623-7776
Mailing Address - Fax:757-623-1522
Practice Address - Street 1:111 W VIRGINIA BEACH BLVD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2005
Practice Address - Country:US
Practice Address - Phone:757-623-7776
Practice Address - Fax:757-623-1522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty