Provider Demographics
NPI:1407968092
Name:REID, CHERINE MARY (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERINE
Middle Name:MARY
Last Name:REID
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11520 NUCKOLS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-2558
Mailing Address - Country:US
Mailing Address - Phone:804-564-6120
Mailing Address - Fax:
Practice Address - Street 1:120 EASTSHORE DR STE 120
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5985
Practice Address - Country:US
Practice Address - Phone:804-270-6010
Practice Address - Fax:804-554-3483
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555874111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA244578OtherBC BS