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Contact Information

ACTIVE FAMILY CHIROPARCTIC
11790 BARON CAMERON AVE STE J
RESTON, VA20190-5873
 Phone: 703-689-3500
 Fax: 703-689-3500
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ACTIVE FAMILY CHIROPARCTIC · (Female)

NPI Number 1073771176
Status Active
Credentials
Entity Individual
Enumeration date 05/27/2008
Last updated 09/26/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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