Fermin Alberto De La Jara in Woodbridge - Sports Physician
Fermin Alberto De La Jara - NPI 1386627032
Fermin Alberto De La Jara is a Sports Physician in Woodbridge, Virginia. Fermin Alberto De La Jara practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Fermin Alberto De La Jara is 1386627032. The last update date is 2011-03-09.
Fermin Alberto De La Jara's current location address is 12546 Dillingham Sq, Woodbridge, Virginia. You can contact this provider via phone number 7037306898 and fax number 7035901260. The mailing address for Fermin Alberto De La Jara is 12546 Dillingham Sq, Woodbridge, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fermin Alberto De La Jara |
|---|---|
| Address | 12546 Dillingham Sq, Woodbridge, Virginia |
| Phone Number | 7037306898 |
| Fax Number | 7035901260 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1386627032 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2011-03-09 |
Provider Mailing Address Detail
| Address | 12546 Dillingham Sq |
|---|---|
| City | Woodbridge |
| State | Virginia (VA) |
| Post Code | 221925259 |
| Phone Number | 7037306898 |
| Fax Number | 7035901260 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 104001510 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the Fermin Alberto De La Jara's 1386627032?
The Fermin Alberto De La Jara's NPI (National Provider Identifier) Number is 1386627032. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Fermin Alberto De La Jara located?
The Fermin Alberto De La Jara is located at 12546 Dillingham Sq, Woodbridge, VA 221925259.
What is Fermin Alberto De La Jara's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fermin Alberto De La Jara's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386627032 to Fermin Alberto De La Jara?
The Centers for Medicare & Medicaid Services originally issued the 1386627032 to Fermin Alberto De La Jara on 2005-11-28.
When was the Fermin Alberto De La Jara's information last updated?
The Fermin Alberto De La Jara's information was last updated on 2011-03-09.