MEDICARE: JESSICA HOWARD DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0104557054	VA

General Provider Information

NPI Number	:	1073952388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA HOWARD DC

Provider Business Mailing Address
First Line	:	1980 GALLOWS RD
Second Line	:	STE 205
City	:	VIENNA
State	:	VA
Zip	:	22182-3913
Country	:	US
Telephone Number	:	703-444-4141
Fax Number	:	703-444-5407

Provider Business Practice Location Address
First Line	:	1980 GALLOWS RD
Second Line	:	STE 205
City	:	VIENNA
State	:	VA
Zip	:	22182-3913
Country	:	US
Telephone Number	:	703-444-4141
Fax Number	:	703-444-5407

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2013
Last Update Date	:	05/27/2016

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Directions to “ JESSICA HOWARD DC” Practice Location

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