Organization
WINCHESTER CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN A SULLIVAN D.C. (PRESIDENT)
(540) 667-0220
Entity
Organization
Contact information
Practice address
101 BLOSSOM DR, WINCHESTER, VA 22602-6100
(540) 667-0220
(540) 667-6022
Mailing address
101 BLOSSOM DR, WINCHESTER, VA 22602-6100
(540) 667-0220
(540) 667-6022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000318
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10395935
CAQH
VA
01
—
350000013
PTAN MEDICARE
VA
Enumeration date
04/22/2013
Last updated
04/22/2013
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