Provider Demographics
NPI:1538813126
Name:FREDERICKSBURG FAMILY CHIROPRACTIC HEALTH CENTER, INC.
Entity type:Organization
Organization Name:FREDERICKSBURG FAMILY CHIROPRACTIC HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIANA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:LINTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-891-9191
Mailing Address - Street 1:10411 COURTHOUSE RD STE B
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-1720
Mailing Address - Country:US
Mailing Address - Phone:540-891-9191
Mailing Address - Fax:540-891-9225
Practice Address - Street 1:10411 COURTHOUSE RD STE B
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-1720
Practice Address - Country:US
Practice Address - Phone:540-891-9191
Practice Address - Fax:540-891-9225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty