Doctor Name: | DR. CHENG TAN |
NPI Number: | 1023441540 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | MO1163 |
Business Practice Address: | 18514 Office Park Dr Montgomery Village Ave Gaithersburg, MD - 208860585 |
Business Phone Number: | 3012518777 |
Business Fax Number: | 3019470367 |
Mailing Address: | 18514 Office Park Dr, Montgomery Village Ave GAITHERSBURG |
State: | MD |
Postal Code: | 208860585 |
Phone Number: | 3012518777 |
Fax Number: | 3019470367 |
NPI Enumeration Date: | 08/20/2013 |
NPI Last Update Date: | 08/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | MO1163 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |