| Commonwealth Chiropractic Center, Inc. | |
|
3756 South Amherst Highway, Suite 100, Madison Heights, VA 24572 | |
| (434) 929-4999 | |
| (434) 929-4997 |
| Full Name | Commonwealth Chiropractic Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3756 South Amherst Highway, Madison Heights, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710143854 | NPI | - | NPPES |
| 263552 | Other | VA | ANTHEM |
| 2995862 | Other | VA | CIGNA |
| 350040203 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0104001637 (Virginia) | Primary |
| Provider Name | Robert A Stickle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861449266 PECOS PAC ID: 1759334733 Enrollment ID: I20050302000409 |
| Provider Name | Douglas R Fonteyne |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659464964 PECOS PAC ID: 3870660814 Enrollment ID: I20080917000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Chiropractic Center, Inc. 3756 South Amherst Highway, Suite 100, Madison Heights, VA 24572 Ph: (434) 929-4999 | Commonwealth Chiropractic Center, Inc. 3756 South Amherst Highway, Suite 100, Madison Heights, VA 24572 Ph: (434) 929-4999 |
Douglas R Fonteyne, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3756 S. Amherst Hwy, 100, Madison Heights, VA 24572 Phone: 434-929-4999 Fax: 434-929-4997 |