| Clegg Chiropractic P C | |
|
225 Loudoun St Se, Leesburg, VA 20175-3115 | |
| (703) 777-8884 | |
| (703) 777-9071 |
| Full Name | Clegg Chiropractic P C |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Orthopedic |
| Location | 225 Loudoun St Se, Leesburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457319907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NX0800X | Chiropractor - Orthopedic | E-00 (Virginia) | Primary |
| Provider Name | Bradley C Clegg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922272814 PECOS PAC ID: 1254483704 Enrollment ID: I20090715000225 |
| Provider Name | Charles R Clegg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457309700 PECOS PAC ID: 0244382380 Enrollment ID: I20090721000104 |
| Mailing Address | Practice Location Address |
|---|---|
| Clegg Chiropractic P C 225 Loudoun St Se, Leesburg, VA 20175-3115 Ph: (703) 777-8884 | Clegg Chiropractic P C 225 Loudoun St Se, Leesburg, VA 20175-3115 Ph: (703) 777-8884 |
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