Wow Chiropractic Clinic, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

WOW CHIROPRACTIC CLINIC, INC

Practice address

1741 Dorsey Rd Ste 104
Hanover, MD 21076-1188

Phone

(410) 774-9870

NPI assigned

Feb 6, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eundae Suk

Title

Director

Phone

(410) 774-9870

Specialties & licenses 1

Addresses

Tax ID family

Wow Chiropractic Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wow Chiropractic Clinic, Inc

  • Chiropractor
  • Lutherville, MD
  • NPI 1679040877
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eundae Shugg, DC

  • Chiropractor
  • Lutherville, MD
  • NPI 1942722053
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1043916596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 DORSEY RD STE 104",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 DORSEY RD STE 104",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761188",
            "telephone_number": "410-774-9870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 York Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210936054",
            "country_code": "US",
            "telephone_number": "410-583-5654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOW CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "SUK",
        "authorized_official_first_name": "EUNDAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-774-9870"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamla Eugena Williams, RN
• Windows of Light Behavioral Health Services
• Eunice Jehae Won
• Sarah Won, PHARMD
• Najla Wortham, LCPC
• Leo Allen Yates Jr.
• Amy Michelle Yost, CCC-M.S. SLP
• Robert Paul Younes, MD
• Keshia A. Young, PT, DPT

• Acupuncturist in Hanover, MD
• Providers in Hanover, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.