Individual provider · Type 1 NPI
Matthew Jaesik Shin, DC
Chiropractor · Centreville, VA
NPI number
1215294756
Active
Practice location
14637 Route 29 Ste 106
Centreville, VA 20121-5830
Fax (866) 205-8716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 0104556896 (VA) |
| Chiropractor | 111N00000X | 03681 (MD) |
Chiropractor: 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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About NPI 1215294756
Matthew Jaesik Shin, DC's National Provider Identifier is 1215294756, issued on Apr 23, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Centreville, VA. The record was last updated on Mar 20, 2026.