Provider Demographics
NPI:1326216987
Name:MIN, JACOB HK (DC)
Entity type:Individual
Prefix:
First Name:JACOB
Middle Name:HK
Last Name:MIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 VEIRS MILL RD STE A
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851-1801
Mailing Address - Country:US
Mailing Address - Phone:301-279-6960
Mailing Address - Fax:301-279-6962
Practice Address - Street 1:2000 VEIRS MILL RD STE A
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20851-1801
Practice Address - Country:US
Practice Address - Phone:301-279-6960
Practice Address - Fax:301-279-6962
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-18
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03534111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor