| Koff Chiropractic Clinic | |
|
9387 Forestwood Ln, Manassas, VA 20110-4701 | |
| (703) 361-0251 | |
| (703) 361-8853 |
| Full Name | Koff Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 9387 Forestwood Ln, Manassas, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124246277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0104000171 (Virginia) | Primary |
| Provider Name | Louis I Koff |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780663153 PECOS PAC ID: 3476601725 Enrollment ID: I20090427000116 |
| Provider Name | Tara B Koff |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538306832 PECOS PAC ID: 2769531995 Enrollment ID: I20090519000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Koff Chiropractic Clinic 9387 Forestwood Ln, Manassas, VA 20110-4701 Ph: (703) 361-0251 | Koff Chiropractic Clinic 9387 Forestwood Ln, Manassas, VA 20110-4701 Ph: (703) 361-0251 |
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