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CHANTILLY CHIROPRACTIC CENTER PC NPI 1629126016


NPI Information

NPI: 1629126016
Provider Name: CHANTILLY CHIROPRACTIC CENTER PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3910 CENTREVILLE ROAD
SUITE 202
CHANTILLY, VA
ZIP 20151
Phone: (703) 378-2698
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CHANTILLY CHIROPRACTIC CENTER PC is a chiropractor in Chantilly, VA. The provider is 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. CHANTILLY CHIROPRACTIC CENTER PC NPI is 1629126016. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3910 CENTREVILLE ROAD
SUITE 202
CHANTILLY, VA
ZIP 20151
Phone: (703) 378-2698
Fax: (703) 378-1451

The provider's authorized official is William Todd Fisher .
The authorized official title is Owner Doctor and has the following contact phone number (703) 378-2698.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/22/2020.


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
1111N00000XChiropractor0104001706VIRGINIANo
2111N00000XChiropractorVIRGINIAYes

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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