Provider Demographics
NPI:1225215932
Name:ESSENTIAL HEALTH CENTER, PLC
Entity Type:Organization
Organization Name:ESSENTIAL HEALTH CENTER, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHUU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-204-4798
Mailing Address - Street 1:7202 ARLINGTON BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1859
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7202 ARLINGTON BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1859
Practice Address - Country:US
Practice Address - Phone:702-204-4798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555947111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00B911E55Medicare PIN
VAG01255Medicare UPIN