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Organization
ASHBURN VILLAGE CHIROPRACTIC
Active
Organization
ASHBURN VILLAGE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SCOTT SOLOMON D.C. (PHYSICIAN)
(703) 723-6800
Entity
Organization
Contact information
Practice address
44110 ASHBURN SHOPPING PLZ, SUITE 158, ASHBURN, VA 20147-3999
(703) 723-6800
(703) 723-6777
Mailing address
44110 ASHBURN SHOPPING PLZ, SUITE 158, ASHBURN, VA 20147-3999
(703) 723-6800
(703) 723-6777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001700
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244466
ANTHEM BC BS
VA
01
—
2749530
AETNA HMO
—
01
—
505594
NCPPO
—
01
—
7110650
MAMSI
—
01
—
7299117
AETNA PPO
—
01
—
8249057
CIGNA
—
Enumeration date
11/29/2006
Last updated
08/22/2020
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