Organization
NOVA IDEAL SPINE
Active
Other names
Loudoun Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE PHELPS (OFFICE MANAGER)
(571) 707-8639
Entity
Organization
Contact information
Practice address
19301 WINMEADE DR STE 214, LANSDOWNE, VA 20176-6503
(571) 707-8639
(571) 707-8642
Mailing address
19301 WINMEADE DR STE 214, LANSDOWNE, VA 20176-6503
(571) 707-8639
(571) 707-8642
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556594
VA
Other
Enumeration date
07/31/2017
Last updated
07/21/2022
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