Provider Demographics
NPI:1134331960
Name:ESPOSITO, JOSEPH M (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:M
Last Name:ESPOSITO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13455 SUNRISE VALLEY DR
Mailing Address - Street 2:STE 300
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-3296
Mailing Address - Country:US
Mailing Address - Phone:703-671-7373
Mailing Address - Fax:703-671-7393
Practice Address - Street 1:1900 N BEAUREGARD ST
Practice Address - Street 2:SUITE 102
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1736
Practice Address - Country:US
Practice Address - Phone:703-671-7373
Practice Address - Fax:703-671-7393
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA402111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAT31214Medicare UPIN
VAG02192Medicare ID - Type Unspecified