Provider Demographics
NPI:1316110828
Name:DR ANDRA SCHMIDT FOSTER DC PC
Entity type:Organization
Organization Name:DR ANDRA SCHMIDT FOSTER DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDRA
Authorized Official - Middle Name:SCHMIDT
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:CHIROPRACTOR
Authorized Official - Phone:757-490-2273
Mailing Address - Street 1:5313 BALFOR DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-2406
Mailing Address - Country:US
Mailing Address - Phone:757-490-2273
Mailing Address - Fax:757-490-6001
Practice Address - Street 1:505 S INDEPENDENCE BLVD
Practice Address - Street 2:SUUITE 105
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1150
Practice Address - Country:US
Practice Address - Phone:757-490-2273
Practice Address - Fax:757-490-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA0104001244111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1053474502OtherNPI (PRACTICE)
VA179704OtherANTHEM