Provider Demographics
NPI:1992738892
Name:TOMSON, ALLAN ROSS (DC)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:ROSS
Last Name:TOMSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6445 BATTLE ROCK DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:VA
Mailing Address - Zip Code:20124-2406
Mailing Address - Country:US
Mailing Address - Phone:703-266-7749
Mailing Address - Fax:703-988-9743
Practice Address - Street 1:10560 MAIN ST
Practice Address - Street 2:PH1
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7182
Practice Address - Country:US
Practice Address - Phone:703-865-5690
Practice Address - Fax:703-865-5693
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA104250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VATO035539Medicare ID - Type Unspecified