Simonetti, Gina M

Simonetti, Gina M is an sole proprietor health care provider with primary practice located at 3915 Old Lee Hwy 22C, Fairfax VA 22030-2432. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Simonetti, Gina M can be contacted via phone (703) 385-7007.

Contact Information

Primary practice address
3915 Old Lee Hwy 22C Fairfax VA 22030-2432
Fax: (703) 385-4384
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104000926 Virginia

Profile Details

NPI number 1154316511
LBN Legal business name Simonetti, Gina M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Nov 24th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154316511 NPPES
Other 0817136 AETNA
Other 070511 AETNA

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