Healthcare Provider Details

I. General information

NPI: 1780009589
Provider Name (Legal Business Name): SAXTON CHIROPRACTIC AND REHAB, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2014
Last Update Date: 03/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21240 RIDGETOP CIR SUITE 105
STERLING VA
20166-6560
US

IV. Provider business mailing address

21769 CRESCENT PARK SQ
BROADLANDS VA
20148-4420
US

V. Phone/Fax

Practice location:
  • Phone: 703-574-5237
  • Fax: 703-574-5235
Mailing address:
  • Phone: 703-574-5237
  • Fax: 703-574-5235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104557131
License Number StateVA

VIII. Authorized Official

Name: DR. ERIC RICHARD SAXTON
Title or Position: OWNER
Credential: D.C.
Phone: 703-574-5237