Provider Demographics
NPI:1104942168
Name:GRAHAM CHIROPRACTIC CARE
Entity type:Organization
Organization Name:GRAHAM CHIROPRACTIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TUYEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-207-6900
Mailing Address - Street 1:7202 ARLINGTON BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1859
Mailing Address - Country:US
Mailing Address - Phone:703-207-6900
Mailing Address - Fax:703-207-6903
Practice Address - Street 1:7202 ARLINGTON BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1859
Practice Address - Country:US
Practice Address - Phone:703-207-6900
Practice Address - Fax:703-207-6903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty