Healthcare Provider Details

I. General information

NPI: 1730383894
Provider Name (Legal Business Name): PARIS CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 W GUDE DR STE B SUITE B
ROCKVILLE MD
20850-4358
US

IV. Provider business mailing address

46 W GUDE DR STE B
ROCKVILLE MD
20850-4358
US

V. Phone/Fax

Practice location:
  • Phone: 240-361-2225
  • Fax: 240-361-0719
Mailing address:
  • Phone: 240-361-2225
  • Fax: 240-361-0719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberS2024
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberD0066496
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number23495
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC04363
License Number StateMD

VIII. Authorized Official

Name: DR. BRIAN R PARIS
Title or Position: PRESIDENT
Credential: DC
Phone: 240-361-2225