Provider Demographics
NPI:1124215587
Name:JENNIFER C AND BRIAN A PRAX, PARTNERS
Entity Type:Organization
Organization Name:JENNIFER C AND BRIAN A PRAX, PARTNERS
Other - Org Name:PRAX CHIROPRACTIC AND HOLISTIC PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:PRAX
Authorized Official - Suffix:IV
Authorized Official - Credentials:DC
Authorized Official - Phone:434-977-5433
Mailing Address - Street 1:300 HICKMAN RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-3554
Mailing Address - Country:US
Mailing Address - Phone:434-977-5433
Mailing Address - Fax:888-241-8375
Practice Address - Street 1:300 HICKMAN RD
Practice Address - Street 2:SUITE 301
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-3554
Practice Address - Country:US
Practice Address - Phone:434-977-5433
Practice Address - Fax:888-241-8375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556326111N00000X
VA0104556325111N00000X
CADC25092111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty