| Perron Chiropractic | |
|
11715 Bowman Green Dr Reston VA 20190-3507 | |
| (703) 689-2300 | |
| Not Available |
| Full Name | Perron Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 11715 Bowman Green Dr, Reston, Virginia |
| Authorized Official Name and Position | Christopher R Perron (PRESIDENT/CEO) |
| Authorized Official Contact | 7038015561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perron Chiropractic 11715 Bowman Green Dr Reston VA 20190-3507 Ph: (703) 689-2300 | Perron Chiropractic 11715 Bowman Green Dr Reston VA 20190-3507 Ph: (703) 689-2300 |
| NPI Number | 1447521513 |
|---|---|
| Provider Enumeration Date | 01/22/2012 |
| Last Update Date | 01/22/2012 |
| Medicare PECOS PAC ID | 4284891789 |
|---|---|
| Medicare Enrollment ID | O20120213000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447521513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0104 555576 (Virginia) | Primary |
| Provider Name | Christopher R Perron |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023025467 PECOS PAC ID: 0244498426 Enrollment ID: I20120220000205 |
| Provider Name | Hewad Sayed Azizi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407310386 PECOS PAC ID: 7719225994 Enrollment ID: I20190213002062 |
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