Provider Demographics
NPI:1407126824
Name:SIXCHIRO LLC
Entity Type:Organization
Organization Name:SIXCHIRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SIX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-370-1800
Mailing Address - Street 1:2121 EISENHOWER AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-5304
Mailing Address - Country:US
Mailing Address - Phone:703-370-1800
Mailing Address - Fax:703-370-6118
Practice Address - Street 1:2121 EISENHOWER AVE STE 101
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-5304
Practice Address - Country:US
Practice Address - Phone:703-370-1800
Practice Address - Fax:703-370-6118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-02
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555987111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty