Provider Demographics
NPI:1346459369
Name:WINCHESTER FAMILY CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:WINCHESTER FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERDOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BORROMEO
Authorized Official - Suffix:V
Authorized Official - Credentials:DC
Authorized Official - Phone:540-868-0144
Mailing Address - Street 1:125 PROSPERITY DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-5319
Mailing Address - Country:US
Mailing Address - Phone:540-868-0144
Mailing Address - Fax:540-868-0166
Practice Address - Street 1:125 PROSPERITY DR
Practice Address - Street 2:SUITE 600
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-5319
Practice Address - Country:US
Practice Address - Phone:540-868-0144
Practice Address - Fax:540-868-0166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVU66193Medicare UPIN