Diaz, Jill Renae
Diaz, Jill Renae is an individual health care provider with primary practice located at 9244 Church St , Manassas VA 20110-5543. She recently has only one registered license in Chiropractic Providers / Pediatric Chiropractor, which is considered as her primary health care specialty. Diaz, Jill Renae can be contacted via phone (703) 369-2559.Contact Information
Primary practice address
9244 Church St
Manassas VA 20110-5543
Phone: (703) 369-2559
Fax: (703) 369-2733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Pediatric Chiropractor | 111NP0017X | 0104556990 | Virginia |
Profile Details
| NPI number | 1952669830 |
|---|---|
| LBN Legal business name | Diaz, Jill Renae |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2012 |
| Last updated | May 20th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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