Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairfax Chiropractic and Wellness Center LLC

Organization Chiropractor · NPI 1417629387

Fairfax Chiropractic and Wellness Center LLC is a Chiropractor in Fairfax, Virginia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10640 Main St Ste 103
Fairfax, VA 22030-3930
Phone: (703) 291-6677
Fax: (703) 352-8935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1417629387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Glasman — Owner Of Entity · (703) 291-6677
NPI enumeratedSeptember 29, 2021
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021
Mailing address10640 Main St Ste 103, Fairfax, VA 22030-3930

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