1750494357 NPI number — DR. TODD J STINSON D.C.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750494357 NPI number — DR. TODD J STINSON D.C.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

STINSON

Provider First Name:

TODD

Provider Middle Name:

J

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

D.C.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1750494357

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

09/04/2012

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

9279 OLD KEENE MILL RD

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

BURKE

Provider Business Mailing Address State Name:

VA

Provider Business Mailing Address Postal Code:

22015-4202

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

703-455-7707

Provider Business Mailing Address Fax Number:

703-451-7397

Provider First Line Business Practice Location Address:

9279 OLD KEENE MILL RD

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

BURKE

Provider Business Practice Location Address State Name:

VA

Provider Business Practice Location Address Postal Code:

22015-4202

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

703-455-7707

Provider Business Practice Location Address Fax Number:

703-451-7397

Provider Enumeration Date:

08/16/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 111N00000X , with the licence number:  0104001457 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 44-00346 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
• Identifier: 607276 . This is a "ACN" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
• Identifier: F7550001 . This is a "BCBS CAREFIRST" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
• Identifier: 391886617 . This is a "TRIAD" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
• Identifier: 210547 . This is a "BCBS ANTHEM" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
• Identifier: 250689 . This is a "MAMSI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
• Identifier: 27576 . This is a "KAISER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
• Identifier: 1031152002 . This is a "CIGNA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
• Identifier: 250689 . This is a "ALLIANCE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
• Identifier: 36005 . This is a "NYL CARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
• Identifier: 5254170 . This is a "AETNA PPO" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
• Identifier: 560376 . This is a "AETNA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".