National Provider Identifier Database

JEFFERSON DAVIS CHIROPRACTIC PT
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

JEFFERSON DAVIS CHIROPRACTIC & PT
14904 JEFFERSON DAVIS HWY
#301
WOODBRIDGE, VA22191
Phone: 703-499-8840
Fax: 703-499-8842
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for JEFFERSON DAVIS CHIROPRACTIC & PT

NPI Number 1336281518
Legal business name
LBN
JEFFERSON DAVIS CHIROPRACTIC & PT
Authorized official SARA PETERSON - (OWNER CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 02/13/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0104001683

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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