Dr Charles R Clegg, D C | |
225 Loudoun St Se, Leesburg, VA 20175-3115 | |
(703) 777-8884 | |
Not Available |
Full Name | Dr Charles R Clegg |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 47 Years |
Location | 225 Loudoun St Se, Leesburg, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457309700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NX0800X | Chiropractor - Orthopedic | 0104000216 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clegg Chiropractic Pc | 3870645328 | 2 |
Provider Name | Clegg Chiropractic Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457319907 PECOS PAC ID: 3870645328 Enrollment ID: O20090721000107 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles R Clegg, D C Po Box 144, Lincoln, VA 20160-0144 Ph: (540) 338-2994 | Dr Charles R Clegg, D C 225 Loudoun St Se, Leesburg, VA 20175-3115 Ph: (703) 777-8884 |
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