Doctor Name: | DR. ERIC LEIGH NICASTRO |
NPI Number: | 1245323161 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 0104556445 |
Business Practice Address: | 7611 Fordson Rd Alexandria, VA - 223062290 |
Business Phone Number: | 7039539518 |
Business Fax Number: | 7039649915 |
Mailing Address: | 4852 Eisenhower Ave Unit 240, ALEXANDRIA |
State: | VA |
Postal Code: | 223047333 |
Phone Number: | 7039539518 |
Fax Number: | 7039649915 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 08/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 0104556445 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |