| Integrated Healthcare Systems Inc | |
|
24805 Pinebrook Rd Ste 314, Chantilly, VA 20152-4128 | |
| (703) 957-3373 | |
| (703) 738-7778 |
| Full Name | Integrated Healthcare Systems Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 24805 Pinebrook Rd Ste 314, Chantilly, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437693348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 0104555899 (Virginia) | Primary |
| Provider Name | Vishal Krishna Verma |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568674547 PECOS PAC ID: 5092938555 Enrollment ID: I20170216001618 |
| Provider Name | Kody S Kettle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669129383 PECOS PAC ID: 1052706983 Enrollment ID: I20220317002708 |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Healthcare Systems Inc 24805 Pinebrook Rd Ste 314, Chantilly, VA 20152-4128 Ph: (703) 957-3373 | Integrated Healthcare Systems Inc 24805 Pinebrook Rd Ste 314, Chantilly, VA 20152-4128 Ph: (703) 957-3373 |
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