Commerce Chiropractic Center | |
6800 Backlick Rd, Suite 100, Springfield, VA 22150-3070 | |
(703) 644-5900 | |
(703) 644-5902 |
Full Name | Commerce Chiropractic Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 6800 Backlick Rd, Springfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164835922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 0104555961 (Virginia) | Primary |
Provider Name | Shayda Mankooei |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1568495661 PECOS PAC ID: 2668701525 Enrollment ID: I20190903001624 |
Mailing Address | Practice Location Address |
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Commerce Chiropractic Center 6800 Backlick Rd, Suite 100, Springfield, VA 22150-3070 Ph: (703) 644-5900 | Commerce Chiropractic Center 6800 Backlick Rd, Suite 100, Springfield, VA 22150-3070 Ph: (703) 644-5900 |
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