| Active Lifestyle Medical | |
|
20 Pidgeon Hill Dr Suite 102 Sterling VA 20165-6154 | |
| (703) 444-4141 | |
| Not Available |
| Full Name | Active Lifestyle Medical |
|---|---|
| Speciality | General Practice |
| Location | 20 Pidgeon Hill Dr, Sterling, Virginia |
| Authorized Official Name and Position | Charles N Arndt (OWNER) |
| Authorized Official Contact | 7034444141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Lifestyle Medical 20 Pidgeon Hill Dr Suite 102 Sterling VA 20165-6154 Ph: (703) 444-4141 | Active Lifestyle Medical 20 Pidgeon Hill Dr Suite 102 Sterling VA 20165-6154 Ph: (703) 444-4141 |
| NPI Number | 1376076059 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 01/02/2025 |
| Certification Date | 01/02/2025 |
| Medicare PECOS PAC ID | 6204265978 |
|---|---|
| Medicare Enrollment ID | O20200331002844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376076059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Charles N Arndt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558556126 PECOS PAC ID: 4284890542 Enrollment ID: I20120803000717 |
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