Western Fairfax Chiropractic

NPI 1548382492 - Chiropractor - 111N00000X

NPI Details
NPI 1548382492
Enumeration Date 04/04/2007
Last Updated 06/23/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD RICHARD
Position CHIEF OPERATING OFFICER
Phone (703) 365-8333
Fax
Practice Location
12847 BRAEMAR VILLAGE PLZ
BRISTOW VA, 20136-5502, US
Phone (703) 365-8333
Fax
Business Location
12847 BRAEMAR VILLAGE PLZ
BRISTOW VA, 20136-5502, US
Phone (703) 365-8333
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Virginia
License Number 0104002083
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According to our database, Western Fairfax Chiropractic NPI is 1548382492, taxonomy code is 111N00000X and license number is 0104002083, license state is located at Virginia. Western Fairfax Chiropractic physically located at 12847 Braemar Village Plz, Bristow VA, 20136-5502. NPI Number 1033115704 has the healthcare provider type.

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1548382492 NPI number is provided on an as is basis without warranty of any kind. 1548382492 is maintained by the National Plan & Provider Enumeration System. The contents of Western Fairfax Chiropractic are for informational purposes only.