Basics First Chiropractic | |
522 E Market St, Leesburg, VA 20176-4112 | |
(703) 777-2532 | |
(703) 777-8002 |
Full Name | Basics First Chiropractic |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 522 E Market St, Leesburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154577278 | NPI | - | NPPES |
1487836250 | Other | INDIVIDUAL NPI # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0104556212 (Virginia) | Primary |
Provider Name | Susmita Paul |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1487836250 PECOS PAC ID: 5799825774 Enrollment ID: I20091223000275 |
Mailing Address | Practice Location Address |
---|---|
Basics First Chiropractic 522 E Market St, Leesburg, VA 20176-4112 Ph: (703) 777-2532 | Basics First Chiropractic 522 E Market St, Leesburg, VA 20176-4112 Ph: (703) 777-2532 |
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