| King Street Back & Neck Care | |
|
3543 W Braddock Rd Ste 200, Alexandria, VA 22302-1903 | |
| (703) 578-1900 | |
| (703) 578-0982 |
| Full Name | King Street Back & Neck Care |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3543 W Braddock Rd Ste 200, Alexandria, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316192529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0104001275 (Virginia) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Steven C Trauben |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902841778 PECOS PAC ID: 8325179419 Enrollment ID: I20100707000144 |
| Provider Name | Niv Borenstein |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801838255 PECOS PAC ID: 3779777073 Enrollment ID: I20101108000091 |
| Mailing Address | Practice Location Address |
|---|---|
| King Street Back & Neck Care Po Box 75807, Chicago, IL 60675-5807 Ph: (703) 952-5652 | King Street Back & Neck Care 3543 W Braddock Rd Ste 200, Alexandria, VA 22302-1903 Ph: (703) 578-1900 |
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