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NEUROLOGICAL CLINIC SC NPI 1144879206


NPI Information

NPI: 1144879206
Provider Name: NEUROLOGICAL CLINIC, SC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
7700 LITTLE RIVER TPKE STE 605
ANNANDALE, VA
ZIP 22003
Phone: (571) 620-7159
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NEUROLOGICAL CLINIC, SC is a clinic center in Annandale, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NEUROLOGICAL CLINIC, SC NPI is 1144879206. The provider is registered as an organization entity type.

The provider's business location address is:

7700 LITTLE RIVER TPKE STE 605
ANNANDALE, VA
ZIP 22003-400
Phone: (571) 620-7159
Fax: (571) 620-7571

The provider's authorized official is Byung H. Park .
The authorized official title is President and has the following contact phone number (262) 880-5525.

The enumeration date for this NPI number is 9/10/2019 and was last updated on 9/10/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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