Provider Demographics
NPI:1699789149
Name:ARMSTRONG, ELLIOTT TORRAIN (DC)
Entity type:Individual
Prefix:DR
First Name:ELLIOTT
Middle Name:TORRAIN
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2026 OPITZ BLVD
Mailing Address - Street 2:B
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3332
Mailing Address - Country:US
Mailing Address - Phone:703-491-8888
Mailing Address - Fax:703-491-2244
Practice Address - Street 1:2026 OPITZ BLVD
Practice Address - Street 2:B
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3332
Practice Address - Country:US
Practice Address - Phone:703-491-8888
Practice Address - Fax:703-491-2244
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556164111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA183128OtherANTHEM
VA010212341Medicaid
VA010212341Medicaid
VAU96902Medicare UPIN