Provider Demographics
NPI:1538134143
Name:ATLEE CHIROPRACTIC CENTER, P.C.
Entity Type:Organization
Organization Name:ATLEE CHIROPRACTIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:804-730-7010
Mailing Address - Street 1:9173 ATLEE RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2506
Mailing Address - Country:US
Mailing Address - Phone:804-730-7010
Mailing Address - Fax:804-730-7015
Practice Address - Street 1:9173 ATLEE RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2506
Practice Address - Country:US
Practice Address - Phone:804-730-7010
Practice Address - Fax:804-730-7015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-18
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU89599Medicare UPIN
VA00V805A62Medicare ID - Type Unspecified