Provider Demographics
NPI:1346724606
Name:CHIROPRACTIC FAMILY HEALTHCARE LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC FAMILY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAULS-BASSFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:804-536-6663
Mailing Address - Street 1:235 WADSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-4525
Mailing Address - Country:US
Mailing Address - Phone:804-536-6663
Mailing Address - Fax:804-414-7500
Practice Address - Street 1:235 WADSWORTH DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-4525
Practice Address - Country:US
Practice Address - Phone:804-536-6663
Practice Address - Fax:804-414-7500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty