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Contact Information

ACTIVE FAMILY WELLNESS PLLC
11350 RANDOM HILLS RD STE 300
FAIRFAX, VA22030-7421
 Phone: 703-373-7113
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ACTIVE FAMILY WELLNESS PLLC

NPI # 1629680079
LBN Legal business name ACTIVE FAMILY WELLNESS PLLC
Authorized official GREGORY LEE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2020
Last updated 03/16/2026 - About 3 months 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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