Dr. Douglas Lee Obetz
Chiropractic Sports Physician
15100 Washington St Suite 104
Haymarket
, Virginia 20169-4918
Dr. Douglas Lee Obetz
Chiropractic Sports Physician
15100 Washington St Suite 104
Haymarket
, Virginia 20169-4918
(703) 753-0171
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Douglas Lee Obetz
- 15100 Washington St Suite 104
- Haymarket, VA
- Zip : 20169-4918
- Fax : (703) 753-0171
- Phone : (703) 753-0122
Second Address
- Dr. Douglas Lee Obetz
- 15100 Washington St Suite 104
- Haymarket, VA
- Zip : 20169-4918
- Fax : (703) 753-0171
- Phone : (703) 753-0122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 0104000980 | VA |
National Provider Identifier
| NPI | 1326063116 |
|---|---|
| Provider Name | Dr. Douglas Lee Obetz |
| First Address | Haymarket, VA 20169-4918 |
| Second Address | Haymarket, VA 20169-4918 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2006 |
| Last Update Date | 05/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U43649 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.