| Gaithersburg Wellness Center | |
|
101 Lakeforest Blvd Ste 395, Gaithersburg, MD 20877-2611 | |
| (919) 402-7551 | |
| Not Available |
| Full Name | Gaithersburg Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 101 Lakeforest Blvd Ste 395, Gaithersburg, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750802831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | S03901 (Maryland) | Primary |
| 111N00000X | Chiropractor | 4338 (North Carolina) | Secondary |
| 111N00000X | Chiropractor | CH030129 (District Of Columbia) | Secondary |
| Provider Name | Sangbum Joo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336480888 PECOS PAC ID: 0345552428 Enrollment ID: I20170927001222 |
| Mailing Address | Practice Location Address |
|---|---|
| Gaithersburg Wellness Center 101 Lakeforest Blvd Ste 395, Gaithersburg, MD 20877-2746 Ph: (301) 200-8060 | Gaithersburg Wellness Center 101 Lakeforest Blvd Ste 395, Gaithersburg, MD 20877-2611 Ph: (919) 402-7551 |
Dr. Alcides Hector Carrillo, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 317 E Diamond Ave, 202, Gaithersburg, MD 20877 Phone: 301-977-8595 Fax: 901-977-8596 | |
Dr. Matthew Tilkin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18310 Montgomery Village Ave Ste 120, Gaithersburg, MD 20879 Phone: 301-576-0500 Fax: 301-431-0010 | |
Sang Youl Youm, Chiropractor Medicare: Medicare Enrolled Practice Location: 6 Montgomery Village Ave Ste 401, Gaithersburg, MD 20879 Phone: 301-987-0424 Fax: 301-987-9339 | |
Deer Park Chiropractic P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 604 S Frederick Ave, Suite 105, Gaithersburg, MD 20877 Phone: 301-990-4184 Fax: 301-990-4187 | |
Clark Chiropractic Center Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 418 East Diamond Ave, Gaithersburg, MD 20877 Phone: 301-926-1500 Fax: 301-926-0462 | |
Dr. Michael Wayne Orr, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4 Professional Dr Ste 139, Gaithersburg, MD 20879 Phone: 301-926-2228 Fax: 301-926-3342 | |
Dr. Kenneth John Fish, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 937 Russell Ave Ste B, Gaithersburg, MD 20879 Phone: 301-519-1881 Fax: 301-519-1131 |