Healthcare Provider Details

I. General information

NPI: 1871597807
Provider Name (Legal Business Name): HEATH JEFFREY BILLS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 09/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8524 PARLIAMENT DR
SPRINGFIELD VA
22151-1309
US

IV. Provider business mailing address

8524 PARLIAMENT DR
SPRINGFIELD VA
22151-1309
US

V. Phone/Fax

Practice location:
  • Phone: 703-346-0646
  • Fax:
Mailing address:
  • Phone: 703-346-0646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104556004
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: