Executive Park Chiropractic & Acupuncture

LBN: Wynn Wellness Center Llc
Executive Park Chiropractic & Acupuncture is an health care organization with primary practice located at 8500 Executive Park Ave Suite 308, Fairfax VA 22031-2225. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Wynn Wellness Center Llc can be contacted via phone (703) 810-3311, or through Nguyen, Vu H via phone (703) 810-3311.

Contact Information

Primary practice address
8500 Executive Park Ave Suite 308 Fairfax VA 22031-2225
Fax:
Website:
Authorized official contact:
Name: Nguyen, Vu H Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104556723 Virginia
Chiropractic Providers / Chiropractor 111N00000X 0104557322 Virginia

Profile Details

NPI number 1770031916
LBN Legal business name Wynn Wellness Center Llc
DBA Doing business as Executive Park Chiropractic & Acupuncture
Authorized official Nguyen, Vu H Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2016
Last updated Sep 16th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770031916 NPPES
Virginia Other 149951 MEDICARE PTAN

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