Provider Demographics
NPI:1356396196
Name:ABBOTT FAMILY CHIROPRACTIC PC
Entity type:Organization
Organization Name:ABBOTT FAMILY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SIOBHAN
Authorized Official - Middle Name:ALISON
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-838-8820
Mailing Address - Street 1:1919 COMMERCE DR STE 280
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-4348
Mailing Address - Country:US
Mailing Address - Phone:757-838-8820
Mailing Address - Fax:757-838-8823
Practice Address - Street 1:1919 COMMERCE DR STE 280
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-4348
Practice Address - Country:US
Practice Address - Phone:757-838-8820
Practice Address - Fax:757-838-8823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556420111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty