Provider Demographics
NPI:1780009589
Name:SAXTON CHIROPRACTIC AND REHAB, PLLC
Entity Type:Organization
Organization Name:SAXTON CHIROPRACTIC AND REHAB, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:SAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-574-5237
Mailing Address - Street 1:21769 CRESCENT PARK SQ
Mailing Address - Street 2:
Mailing Address - City:BROADLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:20148-4420
Mailing Address - Country:US
Mailing Address - Phone:703-574-5237
Mailing Address - Fax:703-574-5235
Practice Address - Street 1:21240 RIDGETOP CIR
Practice Address - Street 2:SUITE 105
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6560
Practice Address - Country:US
Practice Address - Phone:703-574-5237
Practice Address - Fax:703-574-5235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557131111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty