Manassas Chiropractic Neurology Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104000784 Issued in VA

Legal business name

MANASSAS CHIROPRACTIC NEUROLOGY CENTER, INC

Doing business as

Manassas Chiropractic Neurology Center, Inc

Practice address

9840 Liberia Ave
Manassas, VA 20110-5836

Phone

(703) 475-6566

Fax

(703) 794-9455

NPI assigned

Mar 17, 2010

Last updated

Mar 23, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dulce Fernandez

Title

Billing Manager

Phone

(703) 538-5455

Specialties & licenses 2

Addresses

Other names 1

• Manassas Chiropractic Neurology Center, Inc Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1306160536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 LIBERIA AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105836",
            "telephone_number": "703-475-6566",
            "fax_number": "703-794-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 LIBERIA AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105836",
            "telephone_number": "703-475-6566",
            "fax_number": "703-794-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASSAS CHIROPRACTIC NEUROLOGY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DULCE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "703-538-5455"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001349",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manassas Chiropractic Neurology Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Manassas Family Medicine PLC
• Manassas Foot Clinic Inc

• Chiropractor in Manassas, VA
• Providers in Manassas, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.