| Spine Connection Wellness Center | |
|
11820 W Market Pl Ste K, Fulton, MD 20759-2421 | |
| (240) 832-7993 | |
| Not Available |
| Full Name | Spine Connection Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11820 W Market Pl Ste K, Fulton, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285155085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | S03904 (Maryland) | Primary |
| Provider Name | Minho Kim |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326567215 PECOS PAC ID: 3173881646 Enrollment ID: I20180105000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine Connection Wellness Center 7445 Saint Margarets Blvd, Hanover, MD 21076-2135 Ph: () - | Spine Connection Wellness Center 11820 W Market Pl Ste K, Fulton, MD 20759-2421 Ph: (240) 832-7993 |
Minho Kim, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 11820 W Market Pl Ste K, Fulton, MD 20759 Phone: 301-362-3609 | |
John Yongmin Kim, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11820 W Market Pl Ste K, Fulton, MD 20759 Phone: 301-362-3609 | |
Jerry Lee Radas, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 7625 Maple Lawn Blvd, Suite 160, Fulton, MD 20759 Phone: 301-490-8550 Fax: 301-490-8581 | |
Fulton Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 7625 Maple Lawn Blvd, Suite 160, Fulton, MD 20759 Phone: 301-490-8550 Fax: 301-490-8581 | |
Dr. Sae June Kim, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11820 W Market Pl Ste K, Fulton, MD 20759 Phone: 301-362-3609 Fax: 301-498-5027 |