Provider Demographics
NPI:1982763967
Name:PIORKOWSKI, RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:PIORKOWSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6924 LITTLE RIVER TPKE STE D
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3292
Mailing Address - Country:US
Mailing Address - Phone:703-642-1555
Mailing Address - Fax:703-642-1564
Practice Address - Street 1:6924 LITTLE RIVER TPKE STE D
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3292
Practice Address - Country:US
Practice Address - Phone:703-642-1555
Practice Address - Fax:703-642-1564
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001754111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU59714Medicare UPIN
VA829770Medicare ID - Type Unspecified