Healthcare Provider Details

I. General information

NPI: 1326654773
Provider Name (Legal Business Name): IAN LEE SCHAPIRO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 09/21/2020
Certification Date: 09/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 ROCKVILLE PIKE
ROCKVILLE MD
20852-1266
US

IV. Provider business mailing address

935 FARM HAVEN DR
ROCKVILLE MD
20852-4215
US

V. Phone/Fax

Practice location:
  • Phone: 301-251-2777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104557682
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: