Provider Demographics
NPI:1821236563
Name:STERLING FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:STERLING FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:LAMP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-450-4900
Mailing Address - Street 1:45665 W CHURCH RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-9328
Mailing Address - Country:US
Mailing Address - Phone:703-450-4900
Mailing Address - Fax:703-450-4969
Practice Address - Street 1:45665 W CHURCH RD
Practice Address - Street 2:SUITE 110
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-9328
Practice Address - Country:US
Practice Address - Phone:703-450-4900
Practice Address - Fax:703-450-4969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VADC001251111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA210685OtherBLUE CROSS BLUE SHIELD
VA254618OtherKAISER
VA210684OtherBLUE CROSS BLUE SHIELD
VADC001251OtherMEIICAL LICENSE
VA254619OtherKAISER
VADC000949OtherMEDICAL LICENSE
VA210685OtherBLUE CROSS BLUE SHIELD