MEDICARE: BACK 2 BACK CHIROPRACTIC

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	0104002083	VA
2	111N00000X	Chiropractor	0104002089	VA

General Provider Information

NPI Number	:	1548382492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACK 2 BACK CHIROPRACTIC

Provider Business Mailing Address
First Line	:	12847 BRAEMAR VILLAGE PLZ
Second Line	:
City	:	BRISTOW
State	:	VA
Zip	:	20136-5502
Country	:	US
Telephone Number	:	703-365-8333
Fax Number	:

Provider Business Practice Location Address
First Line	:	12847 BRAEMAR VILLAGE PLZ
Second Line	:
City	:	BRISTOW
State	:	VA
Zip	:	20136-5502
Country	:	US
Telephone Number	:	703-365-8333
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	DR. RICHARD WEISS
Credential	:	D.C.
Telephone Number	:	703-365-8333

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	08/01/2017

Similar Medicare Providers

1083650683 — NAI SATURN EASTERN LLC
Practice Location Address:

12821 BRAEMAR VILLAGE PLZ
BRISTOW, VA
20136-5502

Practice Phone: 703-257-0436
Practice Fax: 703-257-4642

1245533678 — DR. JASON HAESUNG YIM PHARM.D
Practice Location Address:

12821 BRAEMAR VILLAGE PLZ
BRISTOW, VA
20136-5502

Practice Phone: 703-257-0436
Practice Fax: 703-257-4642

1174257869 — DR. USAMA NASIR OD
Practice Location Address:

10338 BRISTOW CENTER DR
BRISTOW, VA
20136-2201

Practice Phone: 703-392-1010
Practice Fax: 703-392-4975

1265388839 — NAMASTEY WORLD LLC
Practice Location Address:

12062 ELLIOTS OAK PL
BRISTOW, VA
20136-1260

Practice Phone: 703-789-0143
Practice Fax:

1124974704 — ABSERA TRANSPORT LLC
Practice Location Address:

12209 JENNELL DR
BRISTOW, VA
20136-1127

Practice Phone: 703-895-8867
Practice Fax:

1922008291 — FREDERICK W PARKER III M.D.
Practice Location Address:

10322 BRISTOW CENTER DR
BRISTOW, VA
20136-2201

Practice Phone: 571-284-4230
Practice Fax: 703-257-1495

Directions to “BACK 2 BACK CHIROPRACTIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.