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Organization
FAMILY CHIROPRACTIC CENTER OF LAKE RIDGE
Active
Organization
FAMILY CHIROPRACTIC CENTER OF LAKE RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS WEINBERG D.C. (DOCTOR PRESIDENT)
(703) 497-2020
Entity
Organization
Contact information
Practice address
12801 DARBY BROOK CT STE 102, WOODBRIDGE, VA 22192-2497
(703) 497-2020
(703) 492-6105
Mailing address
12801 DARBY BROOK CT STE 102, WOODBRIDGE, VA 22192-2497
(703) 497-2020
(703) 492-6105
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000798
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023916
AETNA HEALTHCARE
VA
01
—
215560
MDIPA, MAMSI
VA
01
—
231686
BCBS
VA
01
—
504133
NCPPO
VA
01
—
75190
NCAS
VA
01
—
9430604001
CIGNA
VA
01
—
S398-001
CAREFIRST
VA
Enumeration date
12/11/2006
Last updated
04/19/2024
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