Provider Demographics
NPI:1093743080
Name:TENSHAW, BRIAN JOSEPH (DC)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:JOSEPH
Last Name:TENSHAW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2972 CHAIN BRIDGE RD STE F
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-3000
Mailing Address - Country:US
Mailing Address - Phone:703-938-7555
Mailing Address - Fax:703-938-3752
Practice Address - Street 1:2972 CHAIN BRIDGE RD STE F
Practice Address - Street 2:
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-3000
Practice Address - Country:US
Practice Address - Phone:703-938-7555
Practice Address - Fax:703-938-3752
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556259111N00000X, 111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA174814OtherANTHEM BC/BS
VA7049650OtherAETNA
VA708668OtherNCPPO
VAF172-0002OtherCAREFIRST BC/BS
VA7049650OtherAETNA