Provider Demographics
NPI:1659485266
Name:BAHERI, CLER (DC)
Entity Type:Individual
Prefix:DR
First Name:CLER
Middle Name:
Last Name:BAHERI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 OAKWOOD CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-6225
Mailing Address - Country:US
Mailing Address - Phone:240-472-5778
Mailing Address - Fax:
Practice Address - Street 1:910 PRINCESS ANNE ST
Practice Address - Street 2:SUITE 303
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5844
Practice Address - Country:US
Practice Address - Phone:240-472-5778
Practice Address - Fax:240-472-5778
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS02185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor