Provider Demographics
NPI:1477838209
Name:METROPOLITAN CHIROPRACTIC CENTER, PC
Entity Type:Organization
Organization Name:METROPOLITAN CHIROPRACTIC CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ARA
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:AVEDISIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-242-1415
Mailing Address - Street 1:346 MAPLE AVE W
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-5612
Mailing Address - Country:US
Mailing Address - Phone:703-242-1415
Mailing Address - Fax:703-281-0391
Practice Address - Street 1:346 MAPLE AVE W
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-5612
Practice Address - Country:US
Practice Address - Phone:703-242-1415
Practice Address - Fax:703-281-0391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000945111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty