Provider Demographics
NPI:1952469546
Name:ARMSTRONG CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:ARMSTRONG CHIROPRACTIC CENTER PC
Other - Org Name:ARMSTRONG CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:P
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-436-1800
Mailing Address - Street 1:733 VOLVO PKWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-1609
Mailing Address - Country:US
Mailing Address - Phone:757-436-1800
Mailing Address - Fax:757-436-3322
Practice Address - Street 1:733 VOLVO PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-1609
Practice Address - Country:US
Practice Address - Phone:757-436-1800
Practice Address - Fax:757-436-3322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555611111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA118774OtherBCBS
VA6192860001Medicare NSC
VA350001218Medicare ID - Type Unspecified