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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JEFFERSON DAVIS CHIROPRACTIC & PT

NPI # 1336281518
LBN Legal business name JEFFERSON DAVIS CHIROPRACTIC & PT
Authorized official SARA PETERSON - (OWNER CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
VA License # 0104001683
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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