| Life Clinic Of Va Pc | |
|
7801 Limestone Dr, Gainesville, VA 20155-4050 | |
| (952) 229-7464 | |
| Not Available |
| Full Name | Life Clinic Of Va Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7801 Limestone Dr, Gainesville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679037972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Reza Alizadeh |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538214598 PECOS PAC ID: 8224026943 Enrollment ID: I20190611001000 |
| Provider Name | Amber Dunford |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467074559 PECOS PAC ID: 3274955869 Enrollment ID: I20220504001042 |
| Provider Name | Luke Stolitza |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649862301 PECOS PAC ID: 2466851001 Enrollment ID: I20230725003164 |
| Mailing Address | Practice Location Address |
|---|---|
| Life Clinic Of Va Pc Po Box 549, Chanhassen, MN 55317-0549 Ph: (952) 229-7464 | Life Clinic Of Va Pc 7801 Limestone Dr, Gainesville, VA 20155-4050 Ph: (952) 229-7464 |
Dr. Tara L Ford, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14535 John Marshall Hwy, Suite 203, Gainesville, VA 20155 Phone: 703-753-0974 Fax: 703-753-9709 | |
Dr. Kenneth Tri Luong, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 14535 John Marshall Hwy Ste 104, Gainesville, VA 20155 Phone: 703-753-0974 Fax: 703-753-9709 | |
Dr. Gregory Nash, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8006 Crescent Park Dr, Gainesville, VA 20155 Phone: 571-248-0695 | |
Dr. Kevin Maggs, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7400 Heritage Village Plz, Suite 101, Gainesville, VA 20155 Phone: 703-753-5599 Fax: 703-753-7599 | |
Dr. Hyunsil Choi, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14862 Chimbote Ct, Gainesville, VA 20155 Phone: 703-842-5322 | |
Dr. Holly D Moriarty, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 14535 John Marshall Highway, Suite 203, Gainesville, VA 20155 Phone: 703-753-0974 Fax: 703-753-9709 | |
Trang T Lai, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7811 Crescent Park Dr, Gainesville, VA 20155 Phone: 314-614-7477 |