Organization
INNATE FUSION, PC
Active
Other names
InnateFUSION - Concierge Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS PAUL KNAPP D.C. (DIRECTOR)
(703) 242-0030
Entity
Organization
Contact information
Practice address
380 MAPLE AVE W, SUITE L3, VIENNA, VA 22180-5620
(703) 242-0030
Mailing address
380 MAPLE AVE W, SUITE L3, VIENNA, VA 22180-5620
(703) 242-0030
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557018
VA
111NI0013X
Independent Medical Examiner Chiropractor
0104557018
VA
Other
Enumeration date
10/29/2013
Last updated
01/18/2014
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