National Provider Identifier Database

ACTIVE FAMILY WELLNESS PLLC
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

ACTIVE FAMILY WELLNESS PLLC
11350 RANDOM HILLS RD STE 300
FAIRFAX, VA22030-7421
Phone: 703-373-7113
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ACTIVE FAMILY WELLNESS PLLC

NPI Number 1629680079
Legal business name
LBN
ACTIVE FAMILY WELLNESS PLLC
Authorized official GREGORY LEE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/18/2020
Last updated 03/16/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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