Individual
MATTHEW JAESIK SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14637 ROUTE 29 STE 106, CENTREVILLE, VA 20121-5830
(703) 815-7246
(866) 205-8716
Mailing address
14637 ROUTE 29 STE 106, CENTREVILLE, VA 20121-5830
(703) 815-7246
(866) 205-8716
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556896
VA
111N00000X
Chiropractor
03681
MD
Other
Enumeration date
04/23/2012
Last updated
03/20/2026
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