institution
Chisovereign Pllc
Medical Specialty Clinic/Center in Fairfax, Virginia
NPI 1225454291

Chisovereign Pllc is a Medical Specialty Clinic/Center based in Fairfax, VA and is specialized in Medical Specialty. Chisovereign Pllc practices in Fairfax, VA. The NPI Number for Chisovereign Pllc is 1225454291 and holds a License No. 0101246435 (Virginia).

The current practice location address for Chisovereign Pllc is 3975 Fair Ridge Dr, Fairfax, VA and can be reached out via phone at 703-246-0011 and via fax at 703-246-0012. You can also correspond with Chisovereign Pllc through the mailing address at 3975 FAIR RIDGE DR, FAIRFAX, VA - 22033-2911 (mailing address contact number: 703-246-0011).

Location: 3975 Fair Ridge Dr, Fairfax, VA, 22033-2911
institution
Provider Profile Details
NPI Number
1225454291
Provider Name
Chisovereign Pllc
Credential
Provider Entity Type
Organization
Address
3975 Fair Ridge Dr, Fairfax, VA, 22033-2911
Phone Number
703-246-0011
Fax Number
703-246-0012
Provider Enumeration Date
03/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3975 Fair Ridge Dr
City
State
Zip
22033-2911
Phone Number
703-246-0011
Fax Number
703-246-0012
person
Provider Business Mailing Address Details
Address
3975 Fair Ridge Dr
City
State
Zip
22033-2911
Phone Number
703-246-0011
Fax Number
703-246-0012
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
0101246435 (Virginia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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