| Nova Ideal Spine | |
|
19301 Winmeade Dr Ste 214, Lansdowne, VA 20176-6503 | |
| (571) 707-8639 | |
| (571) 707-8642 |
| Full Name | Nova Ideal Spine |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 19301 Winmeade Dr Ste 214, Lansdowne, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205350469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0104556594 (Virginia) | Primary |
| Provider Name | Miok Hyoun |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700043213 PECOS PAC ID: 2466516331 Enrollment ID: I20090122000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Ideal Spine 19301 Winmeade Dr Ste 214, Lansdowne, VA 20176-6503 Ph: (571) 707-8639 | Nova Ideal Spine 19301 Winmeade Dr Ste 214, Lansdowne, VA 20176-6503 Ph: (571) 707-8639 |
Dr. Kevin Alan Duke, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 19465 Deerfield Ave, Suite 108, Lansdowne, VA 20176 Phone: 703-723-4333 Fax: 703-723-4343 | |
Lansdowne Family Chiropractic Center Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19465 Deerfield Ave, Suite 108, Lansdowne, VA 20176 Phone: 703-723-4333 Fax: 703-723-4343 | |
Dr. Miok Hyoun, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 19301 Winmeade Dr Ste 214, Lansdowne, VA 20176 Phone: 571-707-8639 Fax: 571-707-8642 | |
Dr. Michael Mutter, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19415 Deerfield Ave, Suite 101, Lansdowne, VA 20176 Phone: 703-723-8802 |