Campbell Chiropractic Healthcare | |
2616 Sherwood Hall Ln, Suite 101, Alexandria, VA 22306 | |
(703) 619-1002 | |
(703) 619-1340 |
Full Name | Campbell Chiropractic Healthcare |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 2616 Sherwood Hall Ln, Alexandria, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164562302 | NPI | - | NPPES |
F629 | Other | VA | PIN NUMER CARE FIRST BCBS |
183033 | Other | VA | PIN NUMBER ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0104556180 (Virginia) | Primary |
111N00000X | Chiropractor | 0104000759 (Virginia) | Secondary |
Provider Name | Thomas J Campbell |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205996220 PECOS PAC ID: 8628050499 Enrollment ID: I20040604000375 |
Mailing Address | Practice Location Address |
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Campbell Chiropractic Healthcare 2616 Sherwood Hall Ln, Suite 101, Alexandria, VA 22306-3100 Ph: (703) 619-1002 | Campbell Chiropractic Healthcare 2616 Sherwood Hall Ln, Suite 101, Alexandria, VA 22306 Ph: (703) 619-1002 |
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