Provider Demographics
NPI:1144227661
Name:TRUHLIK, CHARLENE M (DC)
Entity type:Individual
Prefix:DR
First Name:CHARLENE
Middle Name:M
Last Name:TRUHLIK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 S CHESTNUT ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-3149
Mailing Address - Country:US
Mailing Address - Phone:276-783-5600
Mailing Address - Fax:276-783-5603
Practice Address - Street 1:123 S CHESTNUT ST
Practice Address - Street 2:SUITE 106
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-3149
Practice Address - Country:US
Practice Address - Phone:276-783-5600
Practice Address - Fax:276-783-5603
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000542111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU27733Medicare UPIN
VA350000983Medicare ID - Type Unspecified