Spine Care Of Alexandria, Inc. | |
6285 Franconia Rd, Alexandria, VA 22310-2510 | |
(703) 719-7302 | |
(703) 719-9462 |
Full Name | Spine Care Of Alexandria, Inc. |
---|---|
Type | Facility |
Speciality | Chiropractor - Neurology |
Location | 6285 Franconia Rd, 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 |
---|---|---|---|
1528136967 | NPI | - | NPPES |
1528136967 | Other | VA | GROUP NPI |
1790865285 | Other | VA | NPI |
DE0896 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NN0400X | Chiropractor - Neurology | 0104001006 (Virginia) | Primary |
Provider Name | Philippa Sophie Connolly |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790865285 PECOS PAC ID: 9830158765 Enrollment ID: I20041012000370 |
Mailing Address | Practice Location Address |
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Spine Care Of Alexandria, Inc. 6285 Franconia Rd, Alexandria, VA 22310-2510 Ph: (703) 719-7302 | Spine Care Of Alexandria, Inc. 6285 Franconia Rd, Alexandria, VA 22310-2510 Ph: (703) 719-7302 |
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