Organization
OLD TOWNE CHIROPRACTIC SERVICES LTD
Active
Other names
Old Towne Chiropractic Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. K A DEYOUNG DC (PRESIDENT)
(703) 684-0260
Entity
Organization
Contact information
Practice address
1218 KING ST, ALEXANDRIA, VA 22314-2927
(703) 684-0260
(703) 684-0262
Mailing address
1218 KING ST, ALEXANDRIA, VA 22314-2927
(703) 684-0260
(703) 684-0262
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
014000399
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237347
BCBS OR ANTHEM BCBS OF VA
VA
Enumeration date
04/16/2007
Last updated
05/19/2008
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