Provider Demographics
NPI:1164575056
Name:UNITED CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:UNITED CHIROPRACTIC CENTER
Other - Org Name:UNITED WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HIRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJAFBAGY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-437-8195
Mailing Address - Street 1:905 HERNDON PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-5536
Mailing Address - Country:US
Mailing Address - Phone:703-437-8195
Mailing Address - Fax:703-437-2404
Practice Address - Street 1:905 HERNDON PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-5536
Practice Address - Country:US
Practice Address - Phone:703-437-8195
Practice Address - Fax:703-437-2404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001895111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty