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NOVA GONSTEAD CHIROPRACTIC CLINIC PLLC NPI 1356602049


NPI Information

NPI: 1356602049
Provider Name: NOVA GONSTEAD CHIROPRACTIC CLINIC PLLC

Doing Business As: MIN KOO KANG

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
9514 LEE HWY
SUITE B
FAIRFAX, VA
ZIP 22031
Phone: (703) 359-6262
Get Directions

NOVA GONSTEAD CHIROPRACTIC CLINIC PLLC is a chiropractor in Fairfax, VA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. NOVA GONSTEAD CHIROPRACTIC CLINIC PLLC NPI is 1356602049. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Min Koo Kang.

The provider's business location address is:

9514 LEE HWY
SUITE B
FAIRFAX, VA
ZIP 22031-303
Phone: (703) 359-6262
Fax: (703) 359-6263

The provider's authorized official is Min Koo Kang .
The authorized official title is Director and has the following contact phone number (703) 638-3794.

The enumeration date for this NPI number is 5/30/2012 and was last updated on 10/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor0104556856VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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