Spinal Source Chiropractic LLC
NPI 1982061487ActiveOrganization· Chiropractor· Suffolk, VA
Chiropractor in Suffolk, Virginia, registered in NPPES in January 2016. The authorized official on file is Taylor Bollig, D.C., Owner/Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1982061487 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 28, 2016 |
| Last updated in NPPES | May 4, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 0104-557380 | VA |
| Chiropractor | 111N00000X | 11751 | FL |
| Chiropractor | 111N00000X | 11140 | FL |
| Chiropractor | 111N00000X | 0104-557378 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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