Provider Demographics
NPI:1710095450
Name:GERMAN, LINCOLN ANTHONY (DC)
Entity Type:Individual
Prefix:
First Name:LINCOLN
Middle Name:ANTHONY
Last Name:GERMAN
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 1:10633 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-3433
Mailing Address - Country:US
Mailing Address - Phone:703-368-9887
Mailing Address - Fax:703-369-0603
Practice Address - Street 1:10633 CRESTWOOD DR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-3433
Practice Address - Country:US
Practice Address - Phone:703-368-9887
Practice Address - Fax:703-369-0603
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000664111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA101332OtherANTHEM
VA101332OtherANTHEM