Provider Demographics
NPI:1225571672
Name:NOVA HEALTH & WELLNESS
Entity Type:Organization
Organization Name:NOVA HEALTH & WELLNESS
Other - Org Name:CLIFTON CHIROPRACTIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, DC
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CURCIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-222-3737
Mailing Address - Street 1:14215E CENTREVILLE SQ
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2301
Mailing Address - Country:US
Mailing Address - Phone:703-222-3737
Mailing Address - Fax:703-449-9346
Practice Address - Street 1:14215E CENTREVILLE SQ
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2301
Practice Address - Country:US
Practice Address - Phone:703-222-3737
Practice Address - Fax:703-449-9346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-02
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1700043213111N00000X
VA1699888446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty