DIVINE SPINE CHIROPRACTIC (NPI# 1598173155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598173155 |
| Entity Type | Organization |
| Organization Name | DIVINE SPINE CHIROPRACTIC |
| Practice Address |
4205 Crossings Blvd Prince George VA 23875 |
| Practice Telephone | 8046685918 |
| Mailing Telephone | 8046685918 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-09-30 |
| Authorized Official Name | DR. BRAHEEM Z TOLBERT (OWNER) |
| Authorized Official Telephone | 8046685918 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104-557187 | VA | Chiropractic Providers |
| Street Address |
4205 CROSSINGS BLVD |
| City | PRINCE GEORGE |
| State | VA |
| Zip Code | 23875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861809907 | Braheem Tolbert | Chiropractor | 4205 Crossings Blvd, Prince George, VA 23875-1456 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228902 | Lr Counseling Services, LLC | Community/Behavioral Health | 5000 Owens Way, Apt. 622, Prince George, VA 23875 | 2020-09-08 |
| 1053815423 | Yolanda Larrette Hoag | Nurse Practitioner | 4600 Puddledock Rd, Prince George, VA 23875 | 2018-03-21 |
| 1932534864 | Foundation for Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4301 Montreal Ave., Prince George, VA 23875 | 2013-09-11 |
| 1073889697 | Jemina M Liverman | Nurse Practitioner | 4260 Crossing Blvd, Prince George, VA 23875 | 2012-03-28 |
| 1245412717 | Prince George County Public Schools | Local Education Agency (LEA) | 6410 Courts Drive, Prince George, VA 23875 | 2007-11-27 |
| 1952330193 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 6459 Administration Dr., Prince George, VA 23875 | 2006-07-01 |
| 1669632782 | Ashif K Jethava | Internal Medicine | 4720 Puddledock Rd, Suite 100b, Prince George, VA 23875 | 2008-06-12 |
| 1043873664 | Branbur Dialysis LLC | Clinic/Center | 4650 Puddledock Rd, Prince George, VA 23875-1235 | 2019-04-18 |
| 1033754874 | Jessica M Larche | Nurse Practitioner | 4600 Puddledock Rd, Prince George, VA 23875-1235 | 2019-11-15 |
| 1023087368 | Mubashir A Khan | Psychiatry & Neurology | 4720 Puddledock Rd, Suite 100, Prince George, VA 23875-1237 | 2006-03-17 |
| Find all providers in zip 23875 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861809907 | Braheem Tolbert | Chiropractor | 4205 Crossings Blvd, Prince George, VA 23875-1456 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494950 | Advanced Chiropractic & Sports Rehabilitation | Chiropractor | 22611 Markey Ct Ste 105, Sterling, VA 20166-6925 | 2020-10-12 |
| 1588261960 | Jacob Chernichky | Chiropractor | 1585 Roanoke Rd, Daleville, VA 24083-2914 | 2020-10-08 |
| 1740887421 | Robyn Victoria Kirby | Chiropractor | 1762 Tyler Rd, Christiansburg, VA 24073-6154 | 2020-10-05 |
| 1053928820 | Movement Methods Chiropractic | Chiropractor | 1276 N Wayne St Apt 617, Arlington, VA 22201-5852 | 2020-09-25 |
| 1265047393 | The Adjustment, Pllc | Chiropractor | 10130 Colvin Run Rd Ste C, Great Falls, VA 22066-1839 | 2020-09-15 |
| 1548874043 | Anam Malik | Chiropractor | 610 Truman Cir Sw, Vienna, VA 22180-6422 | 2020-09-02 |
| 1861006322 | Amato Chiropractic and Rehabilitation Clinic Waynesboro PC | Chiropractor | 2556 Jefferson Hwy Ste 104, Waynesboro, VA 22980-6555 | 2020-09-02 |
| 1114539038 | Jamie Paquette | Chiropractor | 4808 Courthouse St Ste 202, Williamsburg, VA 23188-2684 | 2020-08-21 |
| 1386254084 | Jamie L Sullivan | Chiropractor | 4532 Bonney Rd Ste D, Virginia Beach, VA 23462-3870 | 2020-08-06 |
| 1427674233 | Merrifield Family Chiropractic LLC | Chiropractor | 2750 Prosperity Ave Ste 120, Fairfax, VA 22031-4336 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE GEORGE |
| Zip Code | 23875 |
Please comment or provide details below to improve the information on DIVINE SPINE CHIROPRACTIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.