Provider Demographics
NPI:1689839029
Name:SY-MED DECOMPRESSION INC.
Entity Type:Organization
Organization Name:SY-MED DECOMPRESSION INC.
Other - Org Name:SPINAL DECOMPRESSION & DISC CENTERS OF AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-947-8883
Mailing Address - Street 1:8945 N WESTLAND DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-1249
Mailing Address - Country:US
Mailing Address - Phone:301-947-8883
Mailing Address - Fax:301-947-8887
Practice Address - Street 1:8945 N WESTLAND DR
Practice Address - Street 2:SUITE 100
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1249
Practice Address - Country:US
Practice Address - Phone:301-947-8883
Practice Address - Fax:301-947-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03462111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty