Provider Demographics
NPI:1467062638
Name:WAYNESBORO CHIROPRACTIC, ACUPUNCTURE, AND MASSAGE CLINIC
Entity Type:Organization
Organization Name:WAYNESBORO CHIROPRACTIC, ACUPUNCTURE, AND MASSAGE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROXANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIMIANPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DC, CAC
Authorized Official - Phone:540-664-9970
Mailing Address - Street 1:1115 IVY ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-2620
Mailing Address - Country:US
Mailing Address - Phone:540-664-9970
Mailing Address - Fax:
Practice Address - Street 1:1115 IVY ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-2620
Practice Address - Country:US
Practice Address - Phone:540-664-9970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Multi-Specialty