Provider Demographics
NPI:1740349919
Name:CAFARO FAMILY CHIROPRACTIC CLINIC
Entity type:Organization
Organization Name:CAFARO FAMILY CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR'S ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-678-1212
Mailing Address - Street 1:55 FEATHERBED LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-4466
Mailing Address - Country:US
Mailing Address - Phone:540-678-1212
Mailing Address - Fax:540-678-1123
Practice Address - Street 1:55 FEATHERBED LN
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4466
Practice Address - Country:US
Practice Address - Phone:540-678-1212
Practice Address - Fax:540-678-1123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06600Medicare ID - Type UnspecifiedGROUP NUMBER