Provider Demographics
NPI:1710246889
Name:CONNECTIONS CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:CONNECTIONS CHIROPRACTIC CENTER
Other - Org Name:CONNECTIONS ACHIEVEMNET AND THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:434-823-2199
Mailing Address - Street 1:375 FOUR LEAF LN
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-6905
Mailing Address - Country:US
Mailing Address - Phone:434-823-2199
Mailing Address - Fax:434-823-7099
Practice Address - Street 1:375 FOUR LEAF LN
Practice Address - Street 2:SUITE 202
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-6905
Practice Address - Country:US
Practice Address - Phone:434-823-2199
Practice Address - Fax:434-823-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008083111N00000X
VA0119004835225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty