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NPI Code Detail

MEDICARE: DC PAIN AND REHAB

MEDICARE: DC PAIN AND REHAB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH030045DC

General Provider Information

NPI Number : 1396752440
Entity Type Code : Organization
Provider Name (Legal Business Name) : DC PAIN AND REHAB
Provider Business Mailing Address
First Line : 2041 MARTIN LUTHER KING JR AVE SE
Second Line : SUITE E
City : WASHINGTON
State : DC
Zip : 20020-7024
Country : US
Telephone Number : 202-610-6666
Fax Number : 202-610-9843
Provider Business Practice Location Address
First Line : 2041 MARTIN LUTHER KING JR AVE SE
Second Line : SUITE E
City : WASHINGTON
State : DC
Zip : 20020-7024
Country : US
Telephone Number : 202-610-6666
Fax Number : 202-610-9843
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. ERIK A WARD
Credential : DC
Telephone Number : 610-202-6666
Provider Enumeration Date : 08/02/2006
Last Update Date : 08/22/2020

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Directions to “DC PAIN AND REHAB ” Practice Location

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