Provider Demographics
NPI:1548460710
Name:CHIROAID, LLC
Entity type:Organization
Organization Name:CHIROAID, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:V
Authorized Official - Last Name:ALTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-951-0733
Mailing Address - Street 1:4641 MONTGOMERY AVE
Mailing Address - Street 2:SUITE 410
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3488
Mailing Address - Country:US
Mailing Address - Phone:301-951-0733
Mailing Address - Fax:301-951-0744
Practice Address - Street 1:4641 MONTGOMERY AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3488
Practice Address - Country:US
Practice Address - Phone:301-951-0733
Practice Address - Fax:301-951-0744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03480261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center