Provider Demographics
NPI:1316556483
Name:CAPITAL PHYSICAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:CAPITAL PHYSICAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREL
Authorized Official - Middle Name:
Authorized Official - Last Name:ASUNCION
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:240-780-6404
Mailing Address - Street 1:10023 STERLING TER
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4627
Mailing Address - Country:US
Mailing Address - Phone:240-780-6404
Mailing Address - Fax:
Practice Address - Street 1:7811 MONTROSE RD STE 530
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3344
Practice Address - Country:US
Practice Address - Phone:240-715-9516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty