Healthcare Provider Details

I. General information

NPI: 1932710597
Provider Name (Legal Business Name): HBC CHIROPRACTIC, P. C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2020
Last Update Date: 08/16/2020
Certification Date: 08/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11921 ROCKVILLE PIKE STE 411
ROCKVILLE MD
20852-2757
US

IV. Provider business mailing address

11921 ROCKVILLE PIKE STE 411
ROCKVILLE MD
20852-2757
US

V. Phone/Fax

Practice location:
  • Phone: 301-881-3435
  • Fax: 301-881-3435
Mailing address:
  • Phone: 301-881-3435
  • Fax: 301-881-3435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. HEEKYUNG KIM
Title or Position: DIRECTOR
Credential:
Phone: 301-520-4362