GAITHERSBURG WELLNESS CENTER NPI 1750802831

NPI Information

  • NPI: 1750802831
  • Provider Name: GAITHERSBURG WELLNESS CENTER
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 101 LAKEFOREST BLVD STE 395
    GAITHERSBURG, MD
    ZIP 20877
  • Phone: (919) 402-7551

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NPI Details

GAITHERSBURG WELLNESS CENTER is a chiropractor in Gaithersburg, MD. 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. GAITHERSBURG WELLNESS CENTER NPI is 1750802831. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 LAKEFOREST BLVD STE 395
GAITHERSBURG, MD
ZIP 20877-611
Phone: (919) 402-7551

The provider's authorized official is Sangbum Joo .
The authorized official title is President and has the following contact phone number (301) 569-0380.

The enumeration date for this NPI number is 6/29/2017 and was last updated on 12/15/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorS03901MARYLANDYes
2111N00000XChiropractorCH030129DISTRICT OF COLUMBIANo
3111N00000XChiropractor4338NORTH CAROLINANo

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: 11/21/2025

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