Provider Demographics
NPI:1285795922
Name:CRYSTAL CITY CHIROPRACTIC
Entity type:Organization
Organization Name:CRYSTAL CITY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEETAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SINDHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-413-0688
Mailing Address - Street 1:1615 CRYSTAL SQUARE ARC
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-3303
Mailing Address - Country:US
Mailing Address - Phone:703-413-0688
Mailing Address - Fax:703-413-0576
Practice Address - Street 1:1615 CRYSTAL SQUARE ARC
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-3303
Practice Address - Country:US
Practice Address - Phone:703-413-0688
Practice Address - Fax:703-413-0576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556162111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty