Provider Demographics
NPI:1548273469
Name:CAROLE N. YARED D.C. PLLC
Entity type:Organization
Organization Name:CAROLE N. YARED D.C. PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:NADIM
Authorized Official - Last Name:YARED
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-822-8005
Mailing Address - Street 1:6222 OLD FRANCONIA RD STE A
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-3403
Mailing Address - Country:US
Mailing Address - Phone:703-822-8005
Mailing Address - Fax:703-822-8007
Practice Address - Street 1:6222 OLD FRANCONIA RD STE A
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3403
Practice Address - Country:US
Practice Address - Phone:703-822-8005
Practice Address - Fax:703-822-8007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty