Provider Demographics
NPI:1427497585
Name:STYNCHULA CHIROPRACTIC CARE LLC
Entity type:Organization
Organization Name:STYNCHULA CHIROPRACTIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:M
Authorized Official - Last Name:STYNCHULA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-204-1220
Mailing Address - Street 1:8704 LEE HWY
Mailing Address - Street 2:STE 203
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2104
Mailing Address - Country:US
Mailing Address - Phone:703-204-1220
Mailing Address - Fax:
Practice Address - Street 1:8704 LEE HWY
Practice Address - Street 2:STE 203
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2104
Practice Address - Country:US
Practice Address - Phone:703-204-1220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001420111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty