Healthcare Provider Details
I. General information
NPI: 1013554591
Provider Name (Legal Business Name): RXWELLNESS SPINE & HEALTH - ARLINGTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/04/2019
Last Update Date: 10/10/2022
Certification Date: 10/10/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
932 N HIGHLAND ST STE A
ARLINGTON VA
22201-2144
US
IV. Provider business mailing address
950 HERNDON PKWY STE 130
HERNDON VA
20170-5526
US
V. Phone/Fax
- Phone: 703-904-9666
- Fax:
- Phone: 703-904-9666
- Fax: 703-471-4548
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 202D00000X |
| Taxonomy | Integrative Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PHILIP
GOLINSKY
Title or Position: OWNER
Credential: DC
Phone: 703-904-9666