Provider Demographics
NPI:1396937553
Name:LARMOUR CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:LARMOUR CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:LARMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-503-5033
Mailing Address - Street 1:5616F OX RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX STATION
Mailing Address - State:VA
Mailing Address - Zip Code:22039-1018
Mailing Address - Country:US
Mailing Address - Phone:703-503-5033
Mailing Address - Fax:703-503-5037
Practice Address - Street 1:5616F OX RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX STATION
Practice Address - State:VA
Practice Address - Zip Code:22039-1018
Practice Address - Country:US
Practice Address - Phone:703-503-5033
Practice Address - Fax:703-503-5037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000967111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDJ011-0001OtherCAREFIRST BCBS
VA7330059OtherAETNA
VA274668OtherANTHEM BCBS
MDN167-0001OtherCAREFIRST BCBS
VA274668OtherANTHEM BCBS