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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

NPI Number 1073771176
LBN Legal business name ACTIVE FAMILY CHIROPARCTIC
Authorized official BLANCA QUINTANILLA - (INSURANCE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2008
Last updated 09/26/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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