Provider Demographics
NPI:1790723682
Name:NOYA CHIROPRACTIC
Entity Type:Organization
Organization Name:NOYA CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONDY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-237-1399
Mailing Address - Street 1:4708 WISCONSIN AVE, NW
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016
Mailing Address - Country:US
Mailing Address - Phone:202-237-1399
Mailing Address - Fax:
Practice Address - Street 1:4708 WISCONSIN AVE, NW
Practice Address - Street 2:SUITE 101
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016
Practice Address - Country:US
Practice Address - Phone:202-237-1399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDCH030050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty