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Dr. Jason Michael Bullock, DC
Chiropractor in Chantilly, Virginia
NPI 1124381421

Jason Michael Bullock is a Chiropractor based in Chantilly, VA. Jason Michael Bullock practices in Chantilly, VA and has the professional credentials of DC. The NPI Number for Jason Michael Bullock is 1124381421 and holds a License No. 0104557050 (Virginia).

The current practice location address for Jason Michael Bullock is 4200A Technology Ct, Chantilly, VA and can be reached out via phone at 571-528-9796.

Location: 4200A Technology Ct, Chantilly, VA, 20151-1214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124381421
Provider Name
Jason Michael Bullock
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4200A Technology Ct, Chantilly, VA, 20151-1214
Phone Number
571-528-9796
Fax Number
Provider Enumeration Date
06/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4200A Technology Ct
City
Chantilly
State
Virginia
Zip
20151-1214
Phone Number
571-528-9796
Fax Number
person
Provider Business Mailing Address Details
Address
4200A Technology Ct
City
Chantilly
State
Virginia
Zip
20151-1214
Phone Number
571-528-9796
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
0104557050 (Virginia)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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