Provider Demographics
NPI:1487994257
Name:DANCESIA, CARRIE (DC)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:
Last Name:DANCESIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7439 LINTON HALL RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-2977
Mailing Address - Country:US
Mailing Address - Phone:703-753-8080
Mailing Address - Fax:
Practice Address - Street 1:13961 MANSARDE AVE
Practice Address - Street 2:APT 335
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-6360
Practice Address - Country:US
Practice Address - Phone:607-760-1230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-15
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557039111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor