Travis Dean Rafdal in Newport News - Chiropractor
Travis Dean Rafdal - NPI 1629007562
Travis Dean Rafdal is a Chiropractor in Newport News, Virginia. Travis Dean Rafdal practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Travis Dean Rafdal is 1629007562. The last update date is 2007-07-08.
Travis Dean Rafdal's current location address is 11790 Jefferson Ave, Newport News, Virginia. You can contact this provider via phone number 7578738701 and fax number 7578736737. The mailing address for Travis Dean Rafdal is 11790 Jefferson Ave, Newport News, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis Dean Rafdal |
|---|---|
| Address | 11790 Jefferson Ave, Newport News, Virginia |
| Phone Number | 7578738701 |
| Fax Number | 7578736737 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1629007562 |
|---|---|
| Provider Enumeration Date | 2006-07-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11790 Jefferson Ave |
|---|---|
| City | Newport News |
| State | Virginia (VA) |
| Post Code | 23606 |
| Phone Number | 7578738701 |
| Fax Number | 7578736737 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 104556169 |
|
Definition: 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 inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 187447 | VA | ANTHEM BCBS |
Post Comment/ Review Below
What is the Travis Dean Rafdal's unique identification number?
The Travis Dean Rafdal has been assigned the NPI (National Provider Identifier) Number 1629007562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Travis Dean Rafdal is located?
The Travis Dean Rafdal is situated at the following address: 11790 Jefferson Ave, Newport News, VA, 23606.
What is Travis Dean Rafdal's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Travis Dean Rafdal is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Travis Dean Rafdal receive its 1629007562 assignment from the Centers for Medicare & Medicaid Services?
The Travis Dean Rafdal was assigned its 1629007562 by the Centers for Medicare & Medicaid Services on 2006-07-02.
As of what date was the information pertaining to Travis Dean Rafdal, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Travis Dean Rafdal, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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