Provider Demographics
NPI:1841399268
Name:LE HEW CHIROPRACTIC AND ACUPUNCTURE INC
Entity Type:Organization
Organization Name:LE HEW CHIROPRACTIC AND ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LE HEW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-498-9000
Mailing Address - Street 1:1369 LASKIN RD
Mailing Address - Street 2:STE 4
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451
Mailing Address - Country:US
Mailing Address - Phone:757-498-9000
Mailing Address - Fax:757-498-9104
Practice Address - Street 1:1369 LASKIN RD
Practice Address - Street 2:STE 4
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451
Practice Address - Country:US
Practice Address - Phone:757-498-9000
Practice Address - Fax:757-498-9104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556125111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC08802Medicare ID - Type Unspecified