Malnikof, Vivian K
Malnikof, Vivian K is an individual health care provider with primary practice located at 46169 Westlake Dr Suite 300, Sterling VA 20165-5875. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Malnikof, Vivian K can be contacted via phone (703) 421-2990.Contact Information
Primary practice address
46169 Westlake Dr Suite 300
Sterling VA 20165-5875
Phone: (703) 421-2990
Fax: (703) 421-2822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 0104556374 | Virginia |
Profile Details
| NPI number | 1508922998 |
|---|---|
| LBN Legal business name | Malnikof, Vivian K |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jan 16th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508922998 | NPPES |
| Virginia | Other | 190001295 | MEDICARE |
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