Provider Demographics
NPI:1760247423
Name:LUNA SOL CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:LUNA SOL CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-495-3671
Mailing Address - Street 1:42669 NEW DAWN TER
Mailing Address - Street 2:
Mailing Address - City:BRAMBLETON
Mailing Address - State:VA
Mailing Address - Zip Code:20148-8084
Mailing Address - Country:US
Mailing Address - Phone:703-495-3671
Mailing Address - Fax:
Practice Address - Street 1:17333 PICKWICK DR STE C
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-6174
Practice Address - Country:US
Practice Address - Phone:703-495-3671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service