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MULTI-DISCIPLINE ALT CARE CENTERS LLC NPI 1275729501


NPI Information

NPI: 1275729501
Provider Name: MULTI-DISCIPLINE ALT CARE CENTERS, LLC

Doing Business As: ROSELLE CENTER FOR HEALING

Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 49D2069993

Address:
8500 EXECUTIVE PARK AVENUE
#300
FAIRFAX, VA
ZIP 22031
Phone: (703) 698-7117
Get Directions

MULTI-DISCIPLINE ALT CARE CENTERS, LLC is a chiropractor in Fairfax, VA. The provider is 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. MULTI-DISCIPLINE ALT CARE CENTERS, LLC NPI is 1275729501. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Roselle Center For Healing.

The provider's business location address is:

8500 EXECUTIVE PARK AVENUE
#300
FAIRFAX, VA
ZIP 22031-647
Phone: (703) 698-7117
Fax: (703) 698-5729

The provider's authorized official is Russell Thomas Roselle .
The authorized official title is Owner and has the following contact phone number (703) 698-7117.

The CLIA number assigned to this NPI record is 49D2069993 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorVIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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