Provider Demographics
NPI:1992142335
Name:TURNER CHIROPRACTIC CLINIC OF CENTREVILLE
Entity type:Organization
Organization Name:TURNER CHIROPRACTIC CLINIC OF CENTREVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-815-9500
Mailing Address - Street 1:13880 BRADDOCK RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2459
Mailing Address - Country:US
Mailing Address - Phone:703-815-9500
Mailing Address - Fax:703-815-9104
Practice Address - Street 1:13880 BRADDOCK RD
Practice Address - Street 2:SUITE 106
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2459
Practice Address - Country:US
Practice Address - Phone:703-815-9500
Practice Address - Fax:703-815-9104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001089261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center