Provider Demographics
NPI:1124415971
Name:CORBELLI, CARA E (DC)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:E
Last Name:CORBELLI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 HUGUENOT RD STE 113
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2477
Mailing Address - Country:US
Mailing Address - Phone:804-419-9290
Mailing Address - Fax:804-419-9291
Practice Address - Street 1:1520 HUGUENOT RD STE 113
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113
Practice Address - Country:US
Practice Address - Phone:804-419-9290
Practice Address - Fax:804-419-9291
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-20
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557244111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor