Individual
DR. ERIC DOUGLAS TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3541 CHAIN BRIDGE RD, FAIRFAX, VA 22030-2793
(703) 691-2225
Mailing address
3541 CHAIN BRIDGE RD, FAIRFAX, VA 22030-2793
(703) 691-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000794
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220381
ANTHEM
VA
01
—
4227400
AETNA
VA
01
—
440125
UNITED HEALTHCARE
VA
01
—
54-1829779
TAX ID
VA
01
—
FO55OOO1
CAREFIRST
VA
01
—
S5767
INOVATION HEALTH
VA
Enumeration date
01/12/2007
Last updated
11/03/2011
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