Healthcare Provider Details

I. General information

NPI: 1043301922
Provider Name (Legal Business Name): LOUIS J. ZIEGLER D.C., FIAMA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 S GLEBE RD SUITE 100
ARLINGTON VA
22204-1655
US

IV. Provider business mailing address

46 S GLEBE RD SUITE 100
ARLINGTON VA
22204-1655
US

V. Phone/Fax

Practice location:
  • Phone: 703-521-0644
  • Fax: 703-521-9413
Mailing address:
  • Phone: 703-521-0644
  • Fax: 703-521-9413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License Number0104000939
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: