Provider Demographics
NPI:1063551364
Name:DR. PAUL H. RHYU D.C.,O.M.D,PC
Entity type:Organization
Organization Name:DR. PAUL H. RHYU D.C.,O.M.D,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:RHYU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-359-7272
Mailing Address - Street 1:10090 MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-3412
Mailing Address - Country:US
Mailing Address - Phone:703-359-7272
Mailing Address - Fax:
Practice Address - Street 1:10090 MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3412
Practice Address - Country:US
Practice Address - Phone:703-359-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556453111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty