Provider Demographics
NPI:1215772819
Name:SEVEN CORNERS CHIROPRACTIC
Entity type:Organization
Organization Name:SEVEN CORNERS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:REEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-596-9393
Mailing Address - Street 1:6051E ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2762
Mailing Address - Country:US
Mailing Address - Phone:202-596-9393
Mailing Address - Fax:
Practice Address - Street 1:6051E ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2762
Practice Address - Country:US
Practice Address - Phone:202-596-9393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty