Provider Demographics
NPI:1871782219
Name:STRUCTURAL HEALTH INC.
Entity type:Organization
Organization Name:STRUCTURAL HEALTH INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-907-6627
Mailing Address - Street 1:4121 PLANK RD
Mailing Address - Street 2:417
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-4888
Mailing Address - Country:US
Mailing Address - Phone:540-907-6627
Mailing Address - Fax:540-548-8355
Practice Address - Street 1:1191 CENTRAL PARK BLVD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4918
Practice Address - Country:US
Practice Address - Phone:540-548-8400
Practice Address - Fax:540-548-8355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556475111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAV02450Medicare UPIN