Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fairfax Chiropractic and Wellness Center LLC

Organization Chiropractor · NPI 1417629387

Fairfax Chiropractic and Wellness Center LLC provides Chiropractor services 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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