Provider Demographics
NPI:1437225851
Name:ARLINGTON NECK AND BACK CENTER PC
Entity Type:Organization
Organization Name:ARLINGTON NECK AND BACK CENTER PC
Other - Org Name:GAINESVILLE CHIROPRACTIC & ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGGS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-536-5900
Mailing Address - Street 1:6013B WILSON BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-1503
Mailing Address - Country:US
Mailing Address - Phone:703-536-5900
Mailing Address - Fax:703-536-5902
Practice Address - Street 1:6013B WILSON BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-1503
Practice Address - Country:US
Practice Address - Phone:703-536-5900
Practice Address - Fax:703-536-5902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001526111N00000X
VA0104001523111N00000X
VA0104556422111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA291318OtherGROUP ANTHEM BCBS ID
VA5583273OtherAETNA GROUP ID NUMBER
VAS861OtherCARE FIRST BCBS FROUP ID
VA4400225OtherGROUP UNITED HEALTHCARE I
VAS861OtherCARE FIRST BCBS FROUP ID