Healthcare Provider Details

I. General information

NPI: 1952563140
Provider Name (Legal Business Name): XIN MIAO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2008
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 N ADAMS ST
ROCKVILLE MD
20850-1829
US

IV. Provider business mailing address

202 N ADAMS ST
ROCKVILLE MD
20850-1829
US

V. Phone/Fax

Practice location:
  • Phone: 301-585-2225
  • Fax:
Mailing address:
  • Phone: 301-455-3236
  • Fax: 301-424-2009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number03616
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU01771
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: