1346564499 NPI number — HANDLY CHIROPRACTIC & WELLNESS CENTER LLC

Table of content: DR. ARTURO VELA JR. PT, DPT (NPI 1952880874)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346564499 NPI number — HANDLY CHIROPRACTIC & WELLNESS CENTER LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANDLY CHIROPRACTIC & WELLNESS CENTER LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346564499
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/03/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4848 KINGS MOUNTAIN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLLINSVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24078-1275
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
276-647-3728
Provider Business Mailing Address Fax Number:
276-622-2003

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4848 KINGS MOUNTAIN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLLINSVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24078-1275
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-647-3728
Provider Business Practice Location Address Fax Number:
276-662-2003
Provider Enumeration Date:
03/18/2010

Additional Information

Authorized Official

Authorized Official Last Name:
HANDLY
Authorized Official First Name:
DON
Authorized Official Middle Name:
TYLER
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
276-647-3728

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  0104001795 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com