Provider Demographics
NPI:1700026473
Name:MULLER CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:MULLER CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MULLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:804-520-7246
Mailing Address - Street 1:14107 BEACHMERE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-6570
Mailing Address - Country:US
Mailing Address - Phone:804-748-9068
Mailing Address - Fax:
Practice Address - Street 1:101 ESSEX RD
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-2442
Practice Address - Country:US
Practice Address - Phone:804-520-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000474111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty