Provider Demographics
NPI:1780622886
Name:SOUTH RIDING FAMILY CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:SOUTH RIDING FAMILY CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCESCA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVAGLIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-327-9773
Mailing Address - Street 1:4080 LAFAYETTE CENTER DR
Mailing Address - Street 2:SUITE 170
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-1218
Mailing Address - Country:US
Mailing Address - Phone:703-327-9773
Mailing Address - Fax:703-327-8315
Practice Address - Street 1:4080 LAFAYETTE CENTER DR
Practice Address - Street 2:SUITE 170
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-1218
Practice Address - Country:US
Practice Address - Phone:703-327-9773
Practice Address - Fax:703-327-8315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
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
VAC06127Medicare ID - Type Unspecified