Provider Demographics
NPI:1932296852
Name:THE GET WELL CENTER OF WINCHESTER
Entity Type:Organization
Organization Name:THE GET WELL CENTER OF WINCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:VAITSAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-722-2090
Mailing Address - Street 1:2228 PAPERMILL RD STE C
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3681
Mailing Address - Country:US
Mailing Address - Phone:540-722-2090
Mailing Address - Fax:540-722-2246
Practice Address - Street 1:2228 PAPERMILL RD STE C
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3681
Practice Address - Country:US
Practice Address - Phone:540-722-2090
Practice Address - Fax:540-722-2246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000121111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA350930893Medicare PIN