Dr. Gary L Scholl
Chiropractic Sports Physician
7700 Gunston Plz # A
Lorton
, Virginia 22079-1897
Dr. Gary L Scholl
Chiropractic Sports Physician
7700 Gunston Plz # A
Lorton
, Virginia 22079-1897
(703) 339-0406
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Gary L Scholl
- 63 Glacier Way
- Stafford, VA
- Zip : 22554-7753
- Fax : (703) 339-0406
- Phone : (703) 339-5458
Second Address
- Dr. Gary L Scholl
- 7700 Gunston Plz # A
- Lorton, VA
- Zip : 22079-1897
- Fax : (703) 339-0406
- Phone : (703) 339-5458
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 0104556242 | VA |
National Provider Identifier
| NPI | 1336123033 |
|---|---|
| Provider Name | Dr. Gary L Scholl |
| First Address | Stafford, VA 22554-7753 |
| Second Address | Lorton, VA 22079-1897 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1050910 | ASHN (01) | VA |
| 115868 | ANTHEM BC/BS (01) | VA |
| 1371889 | AETNA HMO (01) | VA |
| 2125155 | MAMSI (01) | VA |
| 242327 | KAISER (01) | VA |
| 666698 | ACN (01) | VA |
| 669923 | NCPPO (01) | VA |
| 7701844 | AETNA (01) | VA |
| H894-0002 | CAREFIRST (01) | VA |
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.