Provider Demographics
NPI:1184771396
Name:FRANKLIN CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:FRANKLIN CHIROPRACTIC CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KARMILOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-569-8300
Mailing Address - Street 1:1018 ARMORY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-1852
Mailing Address - Country:US
Mailing Address - Phone:757-569-8300
Mailing Address - Fax:757-569-8301
Practice Address - Street 1:1018 ARMORY DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-1852
Practice Address - Country:US
Practice Address - Phone:757-569-8300
Practice Address - Fax:757-569-8301
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANKLIN CHIROPRACTIC CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-03
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104-001112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU35355Medicare UPIN
VA00W074C01Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL ID
VAC09206Medicare ID - Type UnspecifiedMEDICARE GROUP ID