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Organization

CHIROPRACTIC CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMMAD R KOMAILY D.C. (PRESIDENT)
(703) 277-9590
Entity
Organization

Contact information

Practice address
10195 MAIN ST STE F, FAIRFAX, VA 22031-3415
(703) 277-9590
(703) 273-6574
Mailing address
10195 MAIN ST STE F, FAIRFAX, VA 22031-3415
(703) 277-9590
(703) 273-6574

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556275
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G01625
MEDICARE ID
DC
Enumeration date
12/19/2006
Last updated
06/04/2009
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