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COMMONWEALTH FAMILY HEALTH CARE NPI 1710244728


NPI Information

NPI: 1710244728
Provider Name: COMMONWEALTH FAMILY HEALTH CARE
Classification: Chiropractor - 111NP0017X
Entity Type: Organization

Specialization: Pediatric Chiropractor

Address:
5216 ROLLING RD
BURKE, VA
ZIP 22015
Phone: (703) 323-8500
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COMMONWEALTH FAMILY HEALTH CARE is a pediatric chiropractor chiropractor in Burke, VA. The provider is the Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. COMMONWEALTH FAMILY HEALTH CARE NPI is 1710244728. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5216 ROLLING RD
BURKE, VA
ZIP 22015-639
Phone: (703) 323-8500
Fax: (703) 323-4176

The provider's authorized official is Mary Jo Palmer .
The authorized official title is Doctor Owner and has the following contact phone number (703) 323-8500.

The enumeration date for this NPI number is 4/15/2012 and was last updated on 4/15/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NP0017XChiropractorPediatric Chiropractor0104001811VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1491210MEDICARE PINVIRGINIA

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: 5/5/2024

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