Provider Demographics
NPI:1699067678
Name:APPLIED HEALTH CHIROPRACTIC
Entity type:Organization
Organization Name:APPLIED HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARION
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSTANTINIDES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-965-2476
Mailing Address - Street 1:4542 BONNEY RD STE B
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3867
Mailing Address - Country:US
Mailing Address - Phone:757-965-2476
Mailing Address - Fax:
Practice Address - Street 1:4532 BONNEY RD STE D
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3870
Practice Address - Country:US
Practice Address - Phone:757-965-2476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-09
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556540111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty