Provider Demographics
NPI:1891027892
Name:HEALTH BUILDERS
Entity Type:Organization
Organization Name:HEALTH BUILDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:E
Authorized Official - Last Name:FULLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-256-2600
Mailing Address - Street 1:7540 LITTLE RIVER TPKE
Mailing Address - Street 2:SUITE H
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2839
Mailing Address - Country:US
Mailing Address - Phone:703-256-2600
Mailing Address - Fax:703-256-6566
Practice Address - Street 1:7540 LITTLE RIVER TPKE
Practice Address - Street 2:SUITE H
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2839
Practice Address - Country:US
Practice Address - Phone:703-256-2600
Practice Address - Fax:703-256-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000459174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty