Provider Demographics
NPI:1639307374
Name:SCHUSTER, KRISTOPHER ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTOPHER
Middle Name:ROBERT
Last Name:SCHUSTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44330 PREMIER PLZ
Mailing Address - Street 2:# 110
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5070
Mailing Address - Country:US
Mailing Address - Phone:703-723-9355
Mailing Address - Fax:703-723-6647
Practice Address - Street 1:44330 PREMIER PLZ
Practice Address - Street 2:# 110
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5070
Practice Address - Country:US
Practice Address - Phone:703-723-9355
Practice Address - Fax:703-723-6647
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556769111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor