The Active Chiropractic Clinic in Woodbridge - Chiropractor
The Active Chiropractic Clinic - NPI 1174649602
The Active Chiropractic Clinic is a Chiropractor in Woodbridge, Virginia. The Active Chiropractic Clinic practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for The Active Chiropractic Clinic is 1174649602. The last update date is 2020-08-22.
The Active Chiropractic Clinic's current location address is 5864 Mapledale Plz, Woodbridge, Virginia. You can contact this provider via phone number 7036803332 and fax number 7036801365. The mailing address for The Active Chiropractic Clinic is 5864 Mapledale Plz, Woodbridge, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Active Chiropractic Clinic |
|---|---|
| Address | 5864 Mapledale Plz, Woodbridge, Virginia |
| Phone Number | 7036803332 |
| Fax Number | 7036801365 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Petruzzi Scott Gregory |
| Credentials | D.C. |
| Telephone Number | 7036803332 |
NPI Number Detail
| NPI Number | 1174649602 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5864 Mapledale Plz |
|---|---|
| City | Woodbridge |
| State | Virginia (VA) |
| Post Code | 221934535 |
| Phone Number | 7036803332 |
| Fax Number | 7036801365 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 104556043 |
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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 |
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What is the The Active Chiropractic Clinic's 1174649602?
The The Active Chiropractic Clinic's NPI (National Provider Identifier) Number is 1174649602. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where The Active Chiropractic Clinic's facilities are situated?
The facilities of The Active Chiropractic Clinic are physically located at the following address: 5864 Mapledale Plz, Woodbridge, VA, 221934535.
What is the The Active Chiropractic Clinic's area of specialization and corresponding taxonomy classification?
The The Active Chiropractic Clinic's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did The Active Chiropractic Clinic receive its 1174649602 assignment from the Centers for Medicare & Medicaid Services?
The The Active Chiropractic Clinic was assigned its 1174649602 on 2007-03-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to The Active Chiropractic Clinic most recently updated or revised?
The information pertaining to The Active Chiropractic Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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