Individual provider · Type 1 NPI

Mike M. Poulin, DC

Chiropractor · Herndon, VA

NPI number 1750450078 Active

Practice location

2465 Centreville Rd Ste J18
Herndon, VA 20171-3026

Call (703) 561-0600 Map

Fax (703) 561-0601

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X0104001170 (VA)

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 1750450078

Mike M. Poulin, DC's National Provider Identifier is 1750450078, issued on Nov 8, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Herndon, VA. The record was last updated on Jul 8, 2007.