Individual
ANDREW LEWIS RENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4500 PLANK RD, SUITE 1022, FREDERICKSBURG, VA 22407-0120
(540) 785-0200
(540) 785-0660
Mailing address
4500 PLANK RD, SUITE 1022, FREDERICKSBURG, VA 22407-0120
(540) 785-0200
(540) 785-0660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555960
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101714
MAMSI
VA
01
—
2740701
AETNA
VA
01
—
434855
ANTHEM
VA
01
—
505767
NVPPO
VA
01
—
542053575
GREAT WEST
VA
01
—
S974-0001
CAREFIRST
VA
Enumeration date
05/19/2006
Last updated
10/26/2015
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