Provider Demographics
NPI:1689878050
Name:CHO, PETER JOO SANG (DC)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:JOO SANG
Last Name:CHO
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 1:7611 LITTLE RIVER TPK.
Mailing Address - Street 2:SUITE 303 WEST
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003
Mailing Address - Country:US
Mailing Address - Phone:703-941-8000
Mailing Address - Fax:703-941-8448
Practice Address - Street 1:7611 LITTLE RIVER TPKE.
Practice Address - Street 2:303 WEST
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:703-941-8000
Practice Address - Fax:703-941-8448
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555728111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor