Healthcare Provider Details

I. General information

NPI: 1770616815
Provider Name (Legal Business Name): MOHAMMAD YOUSEFI DC PC / YOUSEFI CHIROPRACTIC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 COLESVILLE RD
SILVER SPRING MD
20910-1656
US

IV. Provider business mailing address

9200 COLESVILLE RD
SILVER SPRING MD
20910-1656
US

V. Phone/Fax

Practice location:
  • Phone: 301-585-3200
  • Fax: 301-589-2394
Mailing address:
  • Phone: 301-585-3200
  • Fax: 301-589-2394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberS01513
License Number StateMD

VIII. Authorized Official

Name: DR. MOHAMMAD YOUSEFI
Title or Position: PRESIDENT
Credential: D.C.
Phone: 301-585-3200