Provider Demographics
NPI:1508151655
Name:BROWN CHIROPRACTIC
Entity Type:Organization
Organization Name:BROWN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:804-550-0780
Mailing Address - Street 1:9822 BAYROCK CT
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-8726
Mailing Address - Country:US
Mailing Address - Phone:804-550-0780
Mailing Address - Fax:804-550-0782
Practice Address - Street 1:9535 KINGS CHARTER DR
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-7939
Practice Address - Country:US
Practice Address - Phone:804-550-0780
Practice Address - Fax:804-550-0782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556090111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty