Provider Demographics
NPI:1760701825
Name:DILLON, DONALD C (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:C
Last Name:DILLON
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 1:3606 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1005
Mailing Address - Country:US
Mailing Address - Phone:703-820-7520
Mailing Address - Fax:703-820-9570
Practice Address - Street 1:3606 FOREST DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-1005
Practice Address - Country:US
Practice Address - Phone:703-820-7520
Practice Address - Fax:703-820-9570
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555695111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor