Provider Demographics
NPI:1194281527
Name:CPCJ INC
Entity type:Organization
Organization Name:CPCJ INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHIRMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-673-8840
Mailing Address - Street 1:4628 PORTSMOUTH BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-2106
Mailing Address - Country:US
Mailing Address - Phone:757-673-8840
Mailing Address - Fax:757-673-8861
Practice Address - Street 1:4628 PORTSMOUTH BLVD STE 100
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-2106
Practice Address - Country:US
Practice Address - Phone:757-673-8840
Practice Address - Fax:757-673-8861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty