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NPI Code Detail

MEDICARE: MYCHIROPRACTOR LLC

MEDICARE: MYCHIROPRACTOR LLC
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
1111N00000XChiropractor
2111NR0400XRehabilitation Chiropractor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841812344
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYCHIROPRACTOR LLC
Provider Business Mailing Address
First Line : 5410 LYNX LN STE 277
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2483
Country : US
Telephone Number : 443-720-8230
Fax Number : 443-583-0580
Provider Business Practice Location Address
First Line : 5410 LYNX LN STE 277
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2483
Country : US
Telephone Number : 443-720-8230
Fax Number : 443-583-0580
Authorized Official
Title or Position : OWNER / CFO
Name : MR. TAY NGUYEN
Credential :
Telephone Number : 443-720-8230
Provider Enumeration Date : 05/07/2020
Last Update Date : 03/04/2026

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Directions to “MYCHIROPRACTOR LLC ” Practice Location

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