Individual
CARRIE SUE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12359 SUNRISE VALLEY DR, SUITE #140, RESTON, VA 20191-3462
(703) 476-8700
(703) 476-1825
Mailing address
12359 SUNRISE VALLEY DR., SUITE #140, RESTON, VA 20191
(703) 476-8700
(703) 476-1825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555664
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147206
BLUE CROSS/BLUE SHIELD
—
01
—
3714926
AETNA HMO PROVDIER #
VA
01
—
7405325
AETNA NON-HMO PROVIDER #
VA
01
—
K5140001
CARE FIRST
VA
Enumeration date
08/11/2006
Last updated
07/08/2007
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