Provider Demographics
NPI:1356546998
Name:CHIROPRACTIC CENTER OF MANASSAS INC.
Entity type:Organization
Organization Name:CHIROPRACTIC CENTER OF MANASSAS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:BINNING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-257-0100
Mailing Address - Street 1:7513 PRESIDENTIAL LN
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2628
Mailing Address - Country:US
Mailing Address - Phone:703-257-0100
Mailing Address - Fax:703-257-0122
Practice Address - Street 1:7513 PRESIDENTIAL LN
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2628
Practice Address - Country:US
Practice Address - Phone:703-257-0100
Practice Address - Fax:703-257-0122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2021-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556151111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAK3260001OtherCAREFIRST
VA2135457OtherOPTIMUM CHOICE
VA139428OtherANTHEM
VA139428OtherANTHEM
VAK3260001OtherCAREFIRST