National Provider Identifier Database

ADVANCED CHIROPRACTIC SPORTS REHABILITATION
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

ADVANCED CHIROPRACTIC & SPORTS REHABILITATION
22611 MARKEY CT STE 105
STERLING, VA20166-6925
Phone: 631-875-3993
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ADVANCED CHIROPRACTIC & SPORTS REHABILITATION

NPI Number 1801494950
Legal business name
LBN
ADVANCED CHIROPRACTIC & SPORTS REHABILITATION
Authorized official JAMES KENNEDY - (CO-OWNER/DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 10/12/2020
Last updated 10/12/2020 - About 6 years 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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