Provider Demographics
NPI:1881825974
Name:MILESTONE CHIROPRACTIC CENTRE, LTD
Entity Type:Organization
Organization Name:MILESTONE CHIROPRACTIC CENTRE, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGGEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRISCOE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-656-2885
Mailing Address - Street 1:125 OLDE GREENWICH DR
Mailing Address - Street 2:SUITE 175
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-4001
Mailing Address - Country:US
Mailing Address - Phone:540-656-2885
Mailing Address - Fax:
Practice Address - Street 1:125 OLDE GREENWICH DR
Practice Address - Street 2:SUITE 175
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-4001
Practice Address - Country:US
Practice Address - Phone:540-656-2885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556720111N00000X
VA0104556721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty