Provider Demographics
NPI:1700043213
Name:HYOUN, MIOK (DC)
Entity Type:Individual
Prefix:DR
First Name:MIOK
Middle Name:
Last Name:HYOUN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19301 WINMEADE DR STE 214
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-6503
Mailing Address - Country:US
Mailing Address - Phone:571-707-8639
Mailing Address - Fax:571-707-8642
Practice Address - Street 1:19301 WINMEADE DR STE 214
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-6503
Practice Address - Country:US
Practice Address - Phone:571-707-8639
Practice Address - Fax:571-707-8642
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556594111N00000X, 111N00000X
CT001684111N00000X
GACHIR008138111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor