Organization
FAMILY CHIROPRACTIC CENTER OF LAKE RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS WEINBERG D.C. (DOCTOR PRESIDENT)
(703) 497-2020
Entity
Organization
Contact information
Practice address
12801 DARBY BROOK CT STE 102, WOODBRIDGE, VA 22192-2497
(703) 497-2020
(703) 492-6105
Mailing address
12801 DARBY BROOK CT STE 102, WOODBRIDGE, VA 22192-2497
(703) 497-2020
(703) 492-6105
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000798
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023916
AETNA HEALTHCARE
VA
01
—
215560
MDIPA, MAMSI
VA
01
—
231686
BCBS
VA
01
—
504133
NCPPO
VA
01
—
75190
NCAS
VA
01
—
9430604001
CIGNA
VA
01
—
S398-001
CAREFIRST
VA
Enumeration date
12/11/2006
Last updated
04/19/2024
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