Provider Demographics
NPI:1669810792
Name:DYNAMIC HEALTH SOLUTIONS
Entity type:Organization
Organization Name:DYNAMIC HEALTH SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROOYAKKERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-748-5698
Mailing Address - Street 1:1325 WHITE MARLIN LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-6342
Mailing Address - Country:US
Mailing Address - Phone:757-748-5698
Mailing Address - Fax:
Practice Address - Street 1:1906 COLLEY AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1613
Practice Address - Country:US
Practice Address - Phone:757-627-3657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556897111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty