Organization · Type 2 NPI

Chisovereign PLLC

Medical Specialty Clinic/Center · Fairfax, VA

NPI number 1225454291 Active

Practice location

3975 Fair Ridge Dr, Suite 150N
Fairfax, VA 22033-2911

Fax (703) 246-0012

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X0101246435 (VA)

Medical Specialty Clinic/Center: 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).

5 other providers at this address

Other medical specialty clinic/center providers in Fairfax

See all in Fairfax →

About NPI 1225454291

Chisovereign PLLC's National Provider Identifier is 1225454291, issued on Mar 13, 2014. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Fairfax, VA. The record was last updated on Mar 13, 2014.