Provider Demographics
NPI:1598192379
Name:CHESAPEAKE NATURAL PAIN MANAGEMENT AND CHIROPRACTIC
Entity Type:Organization
Organization Name:CHESAPEAKE NATURAL PAIN MANAGEMENT AND CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SANTJER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-650-9750
Mailing Address - Street 1:1932 CENTERVILLE TPKE S
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-1905
Mailing Address - Country:US
Mailing Address - Phone:757-650-9750
Mailing Address - Fax:757-204-4957
Practice Address - Street 1:1932 CENTERVILLE TPKE S
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-1905
Practice Address - Country:US
Practice Address - Phone:757-650-9750
Practice Address - Fax:757-204-4957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-10
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000886111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00W674A02Medicare PIN