Provider Demographics
NPI:1639647621
Name:AMIRI, SAEED (DC)
Entity Type:Individual
Prefix:DR
First Name:SAEED
Middle Name:
Last Name:AMIRI
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 1:2380 PLANK RD STE A
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4927
Mailing Address - Country:US
Mailing Address - Phone:540-373-1303
Mailing Address - Fax:
Practice Address - Street 1:2380 PLANK RD STE A
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4927
Practice Address - Country:US
Practice Address - Phone:540-373-1303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557524111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor