Provider Demographics
NPI:1437557113
Name:SCOLIOSIS SOLUTIONS LLC
Entity Type:Organization
Organization Name:SCOLIOSIS SOLUTIONS LLC
Other - Org Name:NATIONAL SCOLIOSIS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:STIKELEATHER
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:703-849-8808
Mailing Address - Street 1:3023 HAMAKER CT
Mailing Address - Street 2:SUITE LL-50
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2207
Mailing Address - Country:US
Mailing Address - Phone:703-849-8808
Mailing Address - Fax:703-942-6062
Practice Address - Street 1:3023 HAMAKER CT
Practice Address - Street 2:SUITE LL-50
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2207
Practice Address - Country:US
Practice Address - Phone:703-849-8808
Practice Address - Fax:703-942-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-12
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies