Kerry A Egan in Fairfax - Chiropractor

Kerry A Egan - NPI 1174692362

Kerry A Egan is a Chiropractor in Fairfax, Virginia. Kerry A Egan practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kerry A Egan is 1174692362. The last update date is 2014-03-19.

Kerry A Egan's current location address is 4200 Mozart Brigade Ln Apt E, Fairfax, Virginia. You can contact this provider via phone number 7034734145. The mailing address for Kerry A Egan is 4200 Mozart Brigade Ln Apt E, Fairfax, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kerry A Egan
Address 4200 Mozart Brigade Ln Apt E, Fairfax, Virginia
Phone Number 7034734145
Fax Number
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1174692362
Provider Enumeration Date 2006-11-06
Last Updated Date 2014-03-19

Provider Mailing Address Detail

Address 4200 Mozart Brigade Ln Apt E
City Fairfax
State Virginia (VA)
Post Code 220333971
Phone Number 7034734145
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 38010776
Definition:
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2232480 IL BCBS GROUP NUMBER

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FAQs about Kerry A Egan

What is the unique 10-digit identifier code issued to Kerry A Egan by the Centers for Medicare & Medicaid Services?

The Kerry A Egan has been assigned the NPI (National Provider Identifier) 1174692362 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kerry A Egan is physically located?

The Kerry A Egan is physically situated at the following address: 4200 Mozart Brigade Ln Apt E, Fairfax, VA, 220333971.

What is Kerry A Egan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kerry A Egan's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

When did Kerry A Egan receive its 1174692362 assignment?

The Kerry A Egan was assigned its 1174692362 on 2006-11-06, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Kerry A Egan last refreshed?

The information related to the Kerry A Egan, including its address, specialty, and other relevant details, was last updated on 2014-03-19.

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