Provider Demographics
NPI:1669809448
Name:THERAPEUTIC SOLUTIONS PC
Entity type:Organization
Organization Name:THERAPEUTIC SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:BRILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-873-4131
Mailing Address - Street 1:714 A THIMBLE SHOALS BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2574
Mailing Address - Country:US
Mailing Address - Phone:757-873-4131
Mailing Address - Fax:757-240-5795
Practice Address - Street 1:714 A THIMBLE SHOALS BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2574
Practice Address - Country:US
Practice Address - Phone:757-873-4131
Practice Address - Fax:757-240-5795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-11
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001907111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA496222OtherBLUE CROSS BLUE SHIELD
VA350000954Medicare UPIN