Provider Demographics
NPI:1598797490
Name:WARD, ERIK ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:ALLEN
Last Name:WARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:KATHY
Other - Middle Name:
Other - Last Name:KATUSHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2955 S GLEBE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-2730
Mailing Address - Country:US
Mailing Address - Phone:703-535-8887
Mailing Address - Fax:703-535-7819
Practice Address - Street 1:2955 S GLEBE RD
Practice Address - Street 2:SUITE E
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-2730
Practice Address - Country:US
Practice Address - Phone:703-535-8887
Practice Address - Fax:703-535-7819
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555796111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician