Provider Demographics
NPI:1033230909
Name:STRESS RELIEF CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:STRESS RELIEF CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAK
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-366-3332
Mailing Address - Street 1:10684 CRESTWOOD DR STE A
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-4400
Mailing Address - Country:US
Mailing Address - Phone:703-366-3332
Mailing Address - Fax:703-366-2770
Practice Address - Street 1:10684 CRESTWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-4400
Practice Address - Country:US
Practice Address - Phone:703-366-3332
Practice Address - Fax:703-366-2770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC08991Medicare ID - Type Unspecified