Organization
MYCHIROPRACTOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAY NGUYEN (OWNER / CFO)
(443) 720-8230
Entity
Organization
Contact information
Practice address
5410 LYNX LN STE 277, COLUMBIA, MD 21044-2483
(443) 720-8230
(443) 583-0580
Mailing address
5410 LYNX LN STE 277, COLUMBIA, MD 21044-2483
(443) 720-8230
(443) 583-0580
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880211400
—
MD
Enumeration date
05/07/2020
Last updated
03/04/2026
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