Provider Demographics
NPI:1083975783
Name:MONTGOMERY COUNTY CHIROPRACTIC AND REHABILITATION LLC
Entity Type:Organization
Organization Name:MONTGOMERY COUNTY CHIROPRACTIC AND REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:APLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-979-9290
Mailing Address - Street 1:4833 WEST LN
Mailing Address - Street 2:#100
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5397
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4833 WEST LN
Practice Address - Street 2:#100
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-5397
Practice Address - Country:US
Practice Address - Phone:301-979-9290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03640111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty