National Provider Identifier Database

ACTIVE FAMILY CHIROPARCTIC
Chiropractor

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.


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
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ACTIVE FAMILY CHIROPARCTIC

NPI Number 1073771176
Legal business name
LBN
ACTIVE FAMILY CHIROPARCTIC
Authorized official BLANCA QUINTANILLA - (INSURANCE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/27/2008
Last updated 09/26/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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