Individual
DAVID MICHAEL GUSTITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8391 OLD COURTHOUSE RD STE 350, VIENNA, VA 22182-3819
(571) 378-0108
Mailing address
8391 OLD COURTHOUSE RD STE 350, VIENNA, VA 22182-3819
(571) 378-0108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-557688
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134317710
FEDERAL TAX ID
—
Enumeration date
05/26/2006
Last updated
12/23/2022
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