| Vertical Wellness Spine And Health Llc | |
|
2104 Gallows Rd Ste A Vienna VA 22182-3929 | |
| (571) 378-0860 | |
| Not Available |
| Full Name | Vertical Wellness Spine And Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2104 Gallows Rd Ste A, Vienna, Virginia |
| Authorized Official Name and Position | Daniel Kim (OWNER/CHIROPRACTOR) |
| Authorized Official Contact | 5713780860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vertical Wellness Spine And Health Llc 2104 Gallows Rd Ste A Vienna VA 22182-3929 Ph: () - | Vertical Wellness Spine And Health Llc 2104 Gallows Rd Ste A Vienna VA 22182-3929 Ph: (571) 378-0860 |
| NPI Number | 1669078408 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 12/08/2020 |
| Medicare PECOS PAC ID | 1254747009 |
|---|---|
| Medicare Enrollment ID | O20210303001043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669078408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Daniel C Kim |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699223693 PECOS PAC ID: 2961784038 Enrollment ID: I20170125001219 |
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