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HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE REHAB
NPI 1669749529
Chiropractor in Petersburg, VA

Active since November 21, 2011
34 MEDICAL PARK BLVD STE C, PETERSBURG, VA 23805(804) 862-2255(804) 862-1004 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthsource Chiropractic & Progressive Rehab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE REHAB (NPI 1669749529) is a healthcare organization registered as a chiropractor in Petersburg, Virginia and active in the NPI registry since November 2011. The organization lists Latrice Shanee Jordan, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1669749529
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCOMMONWEALTH ALLIANCE
Location Address34 MEDICAL PARK BLVD STE CPetersburg, VA 23805-9283
Mailing Address34 Medical Park Blvd Ste CPetersburg, VA 23805-9283 · (804) 862-2255 · Fax (804) 862-1004
Phone(804) 862-2255
Fax(804) 862-1004
Organization SubpartNo
Authorized OfficialLatrice Shanee JordanClinic Director · (804) 862-2255
Enumeration DateNovember 21, 2011
✔ NPI 1669749529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104556905
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.
34 MEDICAL PARK BLVD STE C, Petersburg, VA 23805
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Other Names 1

Doing Business AsHealthsource Chiropractic & Progressive Rehab

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHIRO ONE WELLNESS CENTER OF PETERSBURG LLC
Chiropractor
34 MEDICAL PARK BLVD STE C
PETERSBURG, VA 23805
Petersburg City (804) 862-2255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Commonwealth Alliance's NPI number?

The NPI number for Commonwealth Alliance is 1669749529. It was assigned to this organization in the NPPES registry on November 21, 2011. The provider is doing business as Healthsource Chiropractic & Progressive Rehab.

Where is Commonwealth Alliance located?

Commonwealth Alliance is located at 34 Medical Park Blvd Ste C, Petersburg, VA 23805. The listed phone number is (804) 862-2255.

What is Commonwealth Alliance's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Commonwealth Alliance was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.