Provider Demographics
NPI:1730231101
Name:FINK, LEANNE (DC)
Entity type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:
Last Name:FINK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15B LOUDOUN ST SW
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-2908
Mailing Address - Country:US
Mailing Address - Phone:703-779-7909
Mailing Address - Fax:703-779-2626
Practice Address - Street 1:15B LOUDOUN ST SW
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-2908
Practice Address - Country:US
Practice Address - Phone:703-779-7909
Practice Address - Fax:703-779-2626
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001756111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA231900OtherANTHEM BC BS PROVIDER ID
VA231900OtherANTHEM BC BS PROVIDER ID
VAC05318Medicare ID - Type UnspecifiedGROUP NUMBER
VA350000778Medicare ID - Type Unspecified