Organization
COUNTRYSIDE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES NORMAN ARNDT DC (PRESIDENT)
(703) 444-4141
Entity
Organization
Contact information
Practice address
20 PIDGEON HILL DR, SUITE 102, STERLING, VA 20165-6154
(703) 444-4141
(703) 444-5407
Mailing address
20 PIDGEON HILL DR, SUITE 102, STERLING, VA 20165-6154
(703) 444-4141
(703) 444-5407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000556
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105606
BCBS
VA
Enumeration date
10/31/2005
Last updated
08/03/2012
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