National Provider Identifier Database

INNATE FUSION PC
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

INNATE FUSION, PC
380 MAPLE AVE W
SUITE L3
VIENNA, VA22180-5620
Phone: 703-242-0030
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Independent Medical Examiner 111NI0013X

* Indicates primary specialty

NPI Profile & details for INNATE FUSION, PC

NPI Number 1548698665
Legal business name
LBN
INNATE FUSION, PC
Authorized official DOUGLAS KNAPP - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/29/2013
Last updated 01/18/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0104557018

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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