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Contact Information

MANASSAS SPINE & SPORT PC
9210 LEE AVE
MANASSAS, VA20110-5513
 Phone: 703-368-8800
 Fax: 703-368-1281
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MANASSAS SPINE & SPORT PC

NPI Number 1609182088
LBN Legal business name MANASSAS SPINE & SPORT PC
Authorized official DENNIS OHARA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2010
Last updated 08/24/2010 - About 16 years ago
Identifiers
VA License # 0104001121
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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