Doctor Name: | JAMES GO |
NPI Number: | 1922257328 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 0104556606 |
Business Practice Address: | 10507 Braddock Rd Ste A Fairfax, VA - 220322240 |
Business Phone Number: | 6073298135 |
Business Fax Number: | 7038656161 |
Mailing Address: | 12104 Maple Forest Ct Apt D, FAIRFAX |
State: | VA |
Postal Code: | 220307719 |
Phone Number: | 6073298135 |
Fax Number: | 7038656161 |
NPI Enumeration Date: | 09/10/2008 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 0104556606 |
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. |