Potomac Valley Chiropractic

LBN: Spiros T Theodore Dc Pc
Potomac Valley Chiropractic is an health care organization with primary practice located at 12105 Darnestown Rd Suite L-8, Gaithersburg MD 20854. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Rehabilitation is the primary health care specialty. Spiros T Theodore Dc Pc can be contacted via phone (301) 869-0006, or through Theodore, Spiro T via phone (301) 869-0006.

Contact Information

Primary practice address
12105 Darnestown Rd Suite L-8 Gaithersburg MD 20854
Phone: (301) 869-0006
Fax: (301) 869-0201
Website:
Map and Directions
Authorized official contact:
Name: Theodore, Spiro T Doctor of Chiropractic (DC)
Phone: (301) 869-0006

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 02045 Maryland
Chiropractic Providers / Rehabilitation 111NR0400X S02045 Maryland

Profile Details

NPI number 1740490242
LBN Legal business name Spiros T Theodore Dc Pc
DBA Doing business as Potomac Valley Chiropractic
Authorized official Theodore, Spiro T Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Nov 8th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740490242 NPPES
Maryland Other KCS6PO BC BS
Maryland MEDICAID 0106381 BC BS
Maryland MEDICAID 010638100 BC BS
Maryland Other S8600001 BC BS

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