| Old Towne Chiropractic Services | |
|
1218 King St, Alexandria, VA 22314-2927 | |
| (703) 684-0260 | |
| (703) 684-0262 |
| Full Name | Old Towne Chiropractic Services |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1218 King St, Alexandria, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407071525 | NPI | - | NPPES |
| 237347 | Other | VA | BCBS OR ANTHEM BCBS OF VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 014000399 (Virginia) | Primary |
| Provider Name | Karen A Deyoung |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225253347 PECOS PAC ID: 0941377915 Enrollment ID: I20080917000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Old Towne Chiropractic Services 1218 King St, Alexandria, VA 22314-2927 Ph: (703) 684-0260 | Old Towne Chiropractic Services 1218 King St, Alexandria, VA 22314-2927 Ph: (703) 684-0260 |
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