Provider Demographics
NPI:1689004459
Name:RATCLIFFE CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:RATCLIFFE CHIROPRACTIC, P.C.
Other - Org Name:NOVA CHIROPRACTIC AND REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:RATCLIFFE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-444-4446
Mailing Address - Street 1:PO BOX 697
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20167-0697
Mailing Address - Country:US
Mailing Address - Phone:703-444-4446
Mailing Address - Fax:
Practice Address - Street 1:880 W CHURCH RD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-4615
Practice Address - Country:US
Practice Address - Phone:703-444-4446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001753111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty