Provider Demographics
NPI:1699145805
Name:LOUDOUN FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:LOUDOUN FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTOPHER
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SCHUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:571-331-8710
Mailing Address - Street 1:44330 PREMIER PLZ
Mailing Address - Street 2:STE 110
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5070
Mailing Address - Country:US
Mailing Address - Phone:703-723-9355
Mailing Address - Fax:888-972-7952
Practice Address - Street 1:44330 PREMIER PLZ
Practice Address - Street 2:STE 110
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5070
Practice Address - Country:US
Practice Address - Phone:703-723-9355
Practice Address - Fax:888-972-7952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556769111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty