Provider Demographics
NPI:1477736775
Name:PALMER CHIROPRACTIC CENTER OF LYNCHBURG, INC.
Entity Type:Organization
Organization Name:PALMER CHIROPRACTIC CENTER OF LYNCHBURG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:WOOD
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:434-237-2299
Mailing Address - Street 1:108A HEXHAM DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-3011
Mailing Address - Country:US
Mailing Address - Phone:434-237-2299
Mailing Address - Fax:434-237-2889
Practice Address - Street 1:108A HEXHAM DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-3011
Practice Address - Country:US
Practice Address - Phone:434-237-2299
Practice Address - Fax:434-237-2889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001965111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty