Provider Demographics
NPI:1235322744
Name:AQUIA FAMILY CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:AQUIA FAMILY CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCALEESE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-720-5256
Mailing Address - Street 1:PO BOX 3068
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22555-3068
Mailing Address - Country:US
Mailing Address - Phone:540-720-5256
Mailing Address - Fax:540-242-0735
Practice Address - Street 1:2152 RICHMOND HWY
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7273
Practice Address - Country:US
Practice Address - Phone:540-720-5256
Practice Address - Fax:540-242-0735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC05401Medicare PIN