Provider Demographics
NPI:1841491693
Name:ATLAS FAMILY CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:ATLAS FAMILY CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:PAPAGIANNOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-528-5477
Mailing Address - Street 1:19725 GERMANTOWN RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1206
Mailing Address - Country:US
Mailing Address - Phone:301-528-5477
Mailing Address - Fax:301-528-5488
Practice Address - Street 1:19725 GERMANTOWN RD
Practice Address - Street 2:SUITE E
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1206
Practice Address - Country:US
Practice Address - Phone:301-528-5477
Practice Address - Fax:301-528-5488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01829111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU67571Medicare UPIN
MD490395Medicare ID - Type Unspecified