Clegg Chiropractic P C | |
225 Loudoun St Se, Leesburg, VA 20175-3115 | |
(703) 777-8884 | |
(703) 777-9071 |
Full Name | Clegg Chiropractic P C |
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Type | Facility |
Speciality | Chiropractor - Orthopedic |
Location | 225 Loudoun St Se, 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 |
---|---|---|---|
1457319907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NX0800X | Chiropractor - Orthopedic | E-00 (Virginia) | Primary |
Provider Name | Bradley C Clegg |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1922272814 PECOS PAC ID: 1254483704 Enrollment ID: I20090715000225 |
Provider Name | Charles R Clegg |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1457309700 PECOS PAC ID: 0244382380 Enrollment ID: I20090721000104 |
Provider Name | Mary Kathleen Burke |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790162469 PECOS PAC ID: 6103136890 Enrollment ID: I20201113000954 |
Mailing Address | Practice Location Address |
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Clegg Chiropractic P C 225 Loudoun St Se, Leesburg, VA 20175-3115 Ph: (703) 777-8884 | Clegg Chiropractic P C 225 Loudoun St Se, Leesburg, VA 20175-3115 Ph: (703) 777-8884 |
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