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Contact Information

LINCOLN E CARILLO, D.C.
7601 LITTLE RIVER TPKE
#100
ANNANDALE, VA22003-2601
 Phone: 703-642-1004
 Fax: 703-642-3232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LINCOLN E CARILLO · (Male)

NPI # 1124145180
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 03/23/2007
Last updated 06/05/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 23418
  • VA License # 0104556819
  • VA Other 232549ZBSM MEDICARE PTAN
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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