Provider Demographics
NPI:1659380764
Name:PARSONS, CHAD (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:PARSONS
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 1:19955 HIGHLAND VISTA DR STE 135
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-4289
Mailing Address - Country:US
Mailing Address - Phone:703-858-1188
Mailing Address - Fax:571-333-1189
Practice Address - Street 1:19955 HIGHLAND VISTA DR STE 135
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-4289
Practice Address - Country:US
Practice Address - Phone:703-858-1188
Practice Address - Fax:571-333-1189
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556080111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09727Medicare UPIN