Doctor Name: | DR. JIWOON RYU |
NPI Number: | 1114344900 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C |
License Number: | 0104557200 |
Business Practice Address: | 7659 New Hampshire Ave Takoma Park, MD - 209127504 |
Business Phone Number: | 6074230452 |
Business Fax Number: | |
Mailing Address: | 5252 Lyngate Ct, Ste 203 BURKE |
State: | VA |
Postal Code: | 220151672 |
Phone Number: | 7032392300 |
Fax Number: | 7032392301 |
NPI Enumeration Date: | 03/18/2014 |
NPI Last Update Date: | 09/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 0104557200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
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. |