Organization Name: | INTEGRATIVE MEDICINE CENTER, PLLC |
NPI Number: | 1831205137 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WADE QUINN (OWNER/MANAGER) |
Mailing Address: | 1318 Jamestown Rd Suite 102 Williamsburg |
State: | VA US |
Postal Code: | 231853382 |
Phone Number: | 7572531900 |
Fax Number: | 7572532900 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 11/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 0104000370 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |