Provider Demographics
NPI:1750458295
Name:STEVEN HAN DC PC
Entity Type:Organization
Organization Name:STEVEN HAN DC PC
Other - Org Name:WOODBRIDGE CHIROPRACTIC & PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:202-386-4736
Mailing Address - Street 1:8732 WILD PRAIRIE ROSE WAY
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-5621
Mailing Address - Country:US
Mailing Address - Phone:202-386-4736
Mailing Address - Fax:
Practice Address - Street 1:14130 NOBLEWOOD PLZ
Practice Address - Street 2:SUITE #201
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-1443
Practice Address - Country:US
Practice Address - Phone:202-386-4736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555957111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty