Shin, Matthew Jaesik

Shin, Matthew Jaesik is an sole proprietor health care provider with primary practice located at 13860 Braddock Rd Ste E , Centreville VA 20121-2401. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shin, Matthew Jaesik can be contacted via phone (703) 815-7246.

Contact Information

Primary practice address
13860 Braddock Rd Ste E Centreville VA 20121-2401
Fax: (866) 205-8716
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104556896 Virginia
Chiropractic Providers / Chiropractor 111N00000X 03681 Maryland

Profile Details

NPI number 1215294756
LBN Legal business name Shin, Matthew Jaesik
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2012
Last updated Apr 23rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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