Provider Demographics
NPI:1134711880
Name:FAMILY CHIROPRACTIC OF ALEXANDRIA LLC
Entity type:Organization
Organization Name:FAMILY CHIROPRACTIC OF ALEXANDRIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOJGAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:JAMASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-408-2429
Mailing Address - Street 1:5246 DAWES AVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-1404
Mailing Address - Country:US
Mailing Address - Phone:703-357-1985
Mailing Address - Fax:
Practice Address - Street 1:5246 DAWES AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1404
Practice Address - Country:US
Practice Address - Phone:703-357-1985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty