Provider Demographics
NPI:1871380337
Name:COPPIN, CHRISTIN J (DC)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:J
Last Name:COPPIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15001 SHADY GROVE RD STE 140
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6354
Mailing Address - Country:US
Mailing Address - Phone:240-556-5721
Mailing Address - Fax:
Practice Address - Street 1:15001 SHADY GROVE RD STE 140
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6354
Practice Address - Country:US
Practice Address - Phone:240-556-5721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104558064111N00000X
GACHIR011290111N00000X
MDS04252111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor