| Nova Functional Sports Chiropractic Llc | |
|
44645 Guilford Dr Ste 211, Ashburn, VA 20147-6020 | |
| (315) 577-2427 | |
| Not Available |
| Full Name | Nova Functional Sports Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 44645 Guilford Dr Ste 211, Ashburn, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518532829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jane E Pavalkis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295199370 PECOS PAC ID: 8224448071 Enrollment ID: I20201105001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Functional Sports Chiropractic Llc 44645 Guilford Dr Ste 211, Ashburn, VA 20147-6020 Ph: (703) 831-7036 | Nova Functional Sports Chiropractic Llc 44645 Guilford Dr Ste 211, Ashburn, VA 20147-6020 Ph: (315) 577-2427 |
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