Provider Demographics
NPI:1427279421
Name:ACN WELLNESS, PLLC
Entity type:Organization
Organization Name:ACN WELLNESS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIET
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-729-5600
Mailing Address - Street 1:115 BEULAH RD NE STE 100D
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4712
Mailing Address - Country:US
Mailing Address - Phone:703-729-5600
Mailing Address - Fax:703-890-2444
Practice Address - Street 1:115 BEULAH RD NE STE 100D
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4712
Practice Address - Country:US
Practice Address - Phone:703-729-5600
Practice Address - Fax:703-890-2444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555970111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty