Provider Demographics
NPI:1871689075
Name:CHIROPRACTIC FIRST INC
Entity Type:Organization
Organization Name:CHIROPRACTIC FIRST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:DUBATS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:804-746-7277
Mailing Address - Street 1:7281 HANOVER GREEN DR # 2
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-1706
Mailing Address - Country:US
Mailing Address - Phone:804-746-7277
Mailing Address - Fax:804-746-7350
Practice Address - Street 1:7281 HANOVER GREEN DR # 2
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-1706
Practice Address - Country:US
Practice Address - Phone:804-746-7277
Practice Address - Fax:804-746-7350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000770111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9530029Medicaid
VAT33549Medicare UPIN
VA350001088Medicare ID - Type UnspecifiedTRAILBLAZER HEALTH
VA9530029Medicaid