Organization Name: | MILLENNIUM CHIROPRACTIC PC |
NPI Number: | 1326250598 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARTHUR EDWARD MOOSALLY (OWNER) |
Mailing Address: | 5864 Mapledale Plaza Woodbridge |
State: | VA US |
Postal Code: | 22193 |
Phone Number: | 7036803332 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 01/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | VA0104002071 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |