Provider Demographics
NPI:1417491184
Name:HEALTH AND REHAB CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:HEALTH AND REHAB CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CZEKAJ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-877-0787
Mailing Address - Street 1:5675 STONE RD STE 220A
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-1667
Mailing Address - Country:US
Mailing Address - Phone:703-877-0787
Mailing Address - Fax:
Practice Address - Street 1:5675 STONE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-1667
Practice Address - Country:US
Practice Address - Phone:703-815-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-14
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556840111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty