Provider Demographics
NPI:1407830789
Name:BERMAN FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:BERMAN FAMILY CHIROPRACTIC, INC.
Other - Org Name:BERMAN FAMILY CHIROPRACTIC & ACUPUNCTURE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:J
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-636-8770
Mailing Address - Street 1:869 JOHN MARSHALL HWY STE B
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-4578
Mailing Address - Country:US
Mailing Address - Phone:540-636-8770
Mailing Address - Fax:540-636-8771
Practice Address - Street 1:869 JOHN MARSHALL HWY STE B
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-4578
Practice Address - Country:US
Practice Address - Phone:540-636-8770
Practice Address - Fax:540-636-8771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-01
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U54487Medicare UPIN
350000682Medicare ID - Type Unspecified