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Contact Information

ADDIS CHIROPRACTIC & PHYSICAL MEDICINE
3541 W BRADDOCK RD
SUITE 203
ALEXANDRIA, VA22302-1915
 Phone: 703-379-4055
 Fax: 703-379-1099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ADDIS CHIROPRACTIC & PHYSICAL MEDICINE

NPI Number 1235481623
LBN Legal business name ADDIS CHIROPRACTIC & PHYSICAL MEDICINE
Authorized official BERHANE SHIFERAW - (CLINIC DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/09/2012
Last updated 10/09/2012 - About 14 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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