Provider Demographics
NPI:1679626402
Name:ADJUSTMENTS FOR LIFE PC
Entity Type:Organization
Organization Name:ADJUSTMENTS FOR LIFE PC
Other - Org Name:ADJUSTMENTS FOR LIFE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BURGER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:434-589-5433
Mailing Address - Street 1:727 LAKE MONTICELLO RD
Mailing Address - Street 2:UNIT A
Mailing Address - City:PALMYRA
Mailing Address - State:VA
Mailing Address - Zip Code:22963-4236
Mailing Address - Country:US
Mailing Address - Phone:434-589-5433
Mailing Address - Fax:434-591-0010
Practice Address - Street 1:727 LAKE MONTICELLO RD
Practice Address - Street 2:UNIT A
Practice Address - City:PALMYRA
Practice Address - State:VA
Practice Address - Zip Code:22963-4236
Practice Address - Country:US
Practice Address - Phone:434-589-5433
Practice Address - Fax:434-589-5433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556160111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8146738OtherCIGNA
VA213841OtherSOUTHERN HEALTH
VA465-522OtherANTHEM
VA8146738OtherCIGNA