Provider Demographics
NPI:1750494357
Name:STINSON, TODD J (DC)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:J
Last Name:STINSON
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 1:9279 OLD KEENE MILL RD
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-4202
Mailing Address - Country:US
Mailing Address - Phone:703-455-7707
Mailing Address - Fax:703-451-7397
Practice Address - Street 1:9279 OLD KEENE MILL RD
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-4202
Practice Address - Country:US
Practice Address - Phone:703-455-7707
Practice Address - Fax:703-451-7397
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA44-00346OtherUNITED HEALTHCARE
VA607276OtherACN
VAF7550001OtherBCBS CAREFIRST
VA391886617OtherTRIAD
VA210547OtherBCBS ANTHEM
VA250689OtherMAMSI
VA27576OtherKAISER
VA1031152002OtherCIGNA
VA250689OtherALLIANCE
VA36005OtherNYL CARE
VA5254170OtherAETNA PPO
VA560376OtherAETNA
VA44-00346OtherUNITED HEALTHCARE
VAU63777Medicare UPIN