1841323235 NPI number — DOCTORS CARE CHIROPRACTIC CENTER P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841323235 NPI number — DOCTORS CARE CHIROPRACTIC CENTER P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOCTORS CARE CHIROPRACTIC CENTER P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

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 Information

NPI Number:
1841323235
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7505 NEW HAMPSHIRE AVE
Provider Second Line Business Mailing Address:
SUITE 302
Provider Business Mailing Address City Name:
TAKOMA PARK
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20912-6970
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-445-7900
Provider Business Mailing Address Fax Number:
301-445-7903

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7505 NEW HAMPSHIRE AVE
Provider Second Line Business Practice Location Address:
SUITE 302
Provider Business Practice Location Address City Name:
TAKOMA PARK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20912-6970
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-445-7900
Provider Business Practice Location Address Fax Number:
301-445-7903
Provider Enumeration Date:
03/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KHADEMI
Authorized Official First Name:
EHSAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
301-445-7900

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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