Provider Demographics
NPI:1306950662
Name:ARMSTRONG, GREGORY P (DC)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:P
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 VOLVO PKWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-1609
Mailing Address - Country:US
Mailing Address - Phone:757-436-1800
Mailing Address - Fax:757-436-3322
Practice Address - Street 1:733 VOLVO PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-1609
Practice Address - Country:US
Practice Address - Phone:757-436-1800
Practice Address - Fax:757-436-3322
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555611111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA118774OtherANTHEM/BCBS
VA350001218Medicare ID - Type Unspecified
VA6192860001Medicare NSC