Provider Demographics
NPI:1861573404
Name:COMMONWEALTH CHIROPRACTIC AND ACUPUNCTURE CENTER P C
Entity type:Organization
Organization Name:COMMONWEALTH CHIROPRACTIC AND ACUPUNCTURE CENTER P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANTARSIERI
Authorized Official - Suffix:
Authorized Official - Credentials:DC; DIPLAC
Authorized Official - Phone:804-264-1286
Mailing Address - Street 1:8500 STAPLES MILL RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2717
Mailing Address - Country:US
Mailing Address - Phone:804-264-1286
Mailing Address - Fax:804-264-1329
Practice Address - Street 1:8500 STAPLES MILL RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-2717
Practice Address - Country:US
Practice Address - Phone:804-264-1286
Practice Address - Fax:804-264-1329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T21331Medicare UPIN
VAC05258Medicare PIN