Terrell, Eric Douglas

Terrell, Eric Douglas is an sole proprietor health care provider with primary practice located at 3541 Chain Bridge Rd , Fairfax VA 22030-2793. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Terrell, Eric Douglas can be contacted via phone (703) 691-2225.

Contact Information

Primary practice address
3541 Chain Bridge Rd Fairfax VA 22030-2793
Phone: (703) 691-2225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104000794 Virginia

Profile Details

NPI number 1235289075
LBN Legal business name Terrell, Eric Douglas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Nov 3rd, 2011 - about 13 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 1235289075 NPPES
Virginia Other FO55OOO1 CAREFIRST
Virginia Other 54-1829779 CAREFIRST
Virginia Other 4227400 CAREFIRST
Virginia Other 220381 CAREFIRST
Virginia Other 440125 CAREFIRST
Virginia Other S5767 CAREFIRST

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