| Name | Value |
|---|---|
| PROVIDER TYPE | Chiropractic Providers |
| CLASSIFICATION | Chiropractor |
| 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 interrelationship with other body systems. |
| STATUS | Active |
| VA CODE | V020000 |
| X12 CODE | 111N00000X |
| SPECIALTY CODE | 35 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5252432 |
| EFFECTIVE DATE/TIME |
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