Organization
ACUTE & WELLNESS CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH PATRICK MIKLUSCAK JR. D.C. (CHIROPRACTIC)
(703) 257-2555
Entity
Organization
Contact information
Practice address
10055 WELLINGTON RD, MANASSAS, VA 20110
(703) 257-2555
(703) 257-2556
Mailing address
10055 WELLINGTON RD, MANASSAS, VA 20110
(703) 257-2555
(703) 257-2556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556055
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134268774
IND. NPI#
VA
Enumeration date
06/26/2007
Last updated
06/14/2010
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