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Individual

JOUBIN BAKHTAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1340 OLD CHAIN BRIDGE RD., SUITE 300A, MCLEAN, VA 22101-3955
(703) 662-0220
(571) 814-3268
Mailing address
1340 OLD CHAIN BRIDGE RD., SUITE 300A, MCLEAN, VA 22101-3955
(703) 662-0220
(571) 814-3268

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557202
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1083096861
NPI
VA
Enumeration date
06/29/2015
Last updated
09/02/2016
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