Provider Demographics
NPI:1922190222
Name:BROWN, JEFFREY ASA (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ASA
Last Name:BROWN
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 1:101 S. WHITING ST.
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304
Mailing Address - Country:US
Mailing Address - Phone:703-370-5335
Mailing Address - Fax:703-373-4281
Practice Address - Street 1:101 S. WHITING ST
Practice Address - Street 2:SUITE 207
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304
Practice Address - Country:US
Practice Address - Phone:703-370-5335
Practice Address - Fax:703-373-4281
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000234111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor