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Contact Information

FERMIN A DE LA JARA, D.C.
12546 DILLINGHAM SQ
WOODBRIDGE, VA22192-5259
 Phone: 703-730-6898
 Fax: 703-590-1260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for FERMIN A DE LA JARA · (Male)

NPI # 1386627032
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 11/28/2005
Last updated 03/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0104001510
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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