Healthcare Provider Details

I. General information

NPI: 1679217731
Provider Name (Legal Business Name): MHC HEALTHCARE CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2022
Last Update Date: 04/25/2022
Certification Date: 04/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6911 RICHMOND HWY STE 222
ALEXANDRIA VA
22306-1844
US

IV. Provider business mailing address

6615 REISTERSTOWN RD STE 109
BALTIMORE MD
21215-2633
US

V. Phone/Fax

Practice location:
  • Phone: 410-617-0004
  • Fax:
Mailing address:
  • Phone: 410-617-0004
  • Fax: 410-383-7135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MR. ROMAN BALAKIRSKY
Title or Position: VICE PRESIDENT
Credential:
Phone: 410-617-0004