Provider Demographics
NPI:1376877175
Name:KING, SABRINA (DC)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4136 BONNEY ROAD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1741
Mailing Address - Country:US
Mailing Address - Phone:757-340-2817
Mailing Address - Fax:757-340-4866
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
Is Sole Proprietor?:No
Enumeration Date:2009-09-25
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556719111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor