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Mike M Poulin, DC
Chiropractor in Herndon, Virginia
NPI 1750450078

Mike M Poulin is a Chiropractor based in Herndon, VA. Mike M Poulin practices in Herndon, VA and has the professional credentials of DC. The NPI Number for Mike M Poulin is 1750450078 and holds a License No. 0104001170 (Virginia).

The current practice location address for Mike M Poulin is 2465 Centreville Rd Ste J18, Herndon, VA and can be reached out via phone at 703-561-0600 and via fax at 703-561-0601.

Location: 2465 Centreville Rd Ste J18, Herndon, VA, 20171-3026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750450078
Provider Name
Mike M Poulin
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2465 Centreville Rd Ste J18, Herndon, VA, 20171-3026
Phone Number
703-561-0600
Fax Number
703-561-0601
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
211741 01 VA ANTHEM
F610-0001 01 VA CAREFIRST BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2465 Centreville Rd Ste J18
City
Herndon
State
Virginia
Zip
20171-3026
Phone Number
703-561-0600
Fax Number
703-561-0601
person
Provider Business Mailing Address Details
Address
2465 Centreville Rd Ste J18
City
Herndon
State
Virginia
Zip
20171-3026
Phone Number
703-561-0600
Fax Number
703-561-0601
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
0104001170 (Virginia)
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.
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