Provider Demographics
NPI:1366622896
Name:LINKHORN CHIROPRACTIC CARE PC
Entity Type:Organization
Organization Name:LINKHORN CHIROPRACTIC CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:YEATES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-227-5465
Mailing Address - Street 1:1023 LASKIN RD
Mailing Address - Street 2:STE 103
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6302
Mailing Address - Country:US
Mailing Address - Phone:757-227-5465
Mailing Address - Fax:757-227-5725
Practice Address - Street 1:1023 LASKIN RD
Practice Address - Street 2:STE 103
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6302
Practice Address - Country:US
Practice Address - Phone:757-227-5465
Practice Address - Fax:757-227-5725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
321807OtherMAMSI
672033OtherACN
308668OtherANTHEM