MEDICARE: DR. LEON BERKOWITZ 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	0104001097	VA
2	111NR0400X	Rehabilitation Chiropractor	0104001097	VA

General Provider Information

NPI Number	:	1477829497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEON BERKOWITZ DC

Provider Business Mailing Address
First Line	:	5683 COLUMBIA PIKE
Second Line	:	SUITE 101
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-2891
Country	:	US
Telephone Number	:	703-778-4111
Fax Number	:	703-778-4110

Provider Business Practice Location Address
First Line	:	5683 COLUMBIA PIKE
Second Line	:	SUITE 101
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-2891
Country	:	US
Telephone Number	:	703-778-4111
Fax Number	:	703-778-4110

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

Provider Enumeration Date	:	03/23/2012
Last Update Date	:	03/23/2012

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Directions to “ DR. LEON BERKOWITZ DC” Practice Location

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