Provider Demographics
NPI:1437293727
Name:ADVANCED HEALTHCARE PC
Entity Type:Organization
Organization Name:ADVANCED HEALTHCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEUERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-444-1182
Mailing Address - Street 1:46175 WESTLAKE DR
Mailing Address - Street 2:STE 200
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5873
Mailing Address - Country:US
Mailing Address - Phone:703-444-1182
Mailing Address - Fax:
Practice Address - Street 1:46175 WESTLAKE DR
Practice Address - Street 2:STE. 200
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-5873
Practice Address - Country:US
Practice Address - Phone:703-444-1182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001224111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty