Healthcare Provider Details
I. General information
NPI: 1174605570
Provider Name (Legal Business Name): FIRST CHOICE PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/19/2006
Last Update Date: 11/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
827 F ROCKVILLE PIKE
ROCKVILLE MD
20852-1266
US
IV. Provider business mailing address
9300 LIVINGSTON RD
FT WASHINGTON MD
20744-5145
US
V. Phone/Fax
- Phone: 301-251-2777
- Fax: 301-251-1829
- Phone: 240-766-0300
- Fax: 240-766-0304
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAY
S
GREENSTEIN
Title or Position: OWNER
Credential: DC WITH PT P
Phone: 301-251-2777