Commonwealth Family Health Care | |
5216 Rolling Rd, Burke, VA 22015-1639 | |
(703) 323-8500 | |
(703) 323-4176 |
Full Name | Commonwealth Family Health Care |
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Type | Facility |
Speciality | Chiropractor - Pediatric Chiropractor |
Location | 5216 Rolling Rd, Burke, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710244728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NP0017X | Chiropractor - Pediatric Chiropractor | 0104001811 (Virginia) | Primary |
Provider Name | Mary Jo Palmer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1407991524 PECOS PAC ID: 3072775873 Enrollment ID: I20120424000035 |
Mailing Address | Practice Location Address |
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Commonwealth Family Health Care 5216 Rolling Rd, Burke, VA 22015-1639 Ph: (703) 323-8500 | Commonwealth Family Health Care 5216 Rolling Rd, Burke, VA 22015-1639 Ph: (703) 323-8500 |
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