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MARYLAND SPINE CARE LLC NPI 1871688945


NPI Information

NPI: 1871688945
Provider Name: MARYLAND SPINE CARE LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 21D0871564

Address:
517 MAIN STREET
REISTERSTOWN, MD
ZIP 21136
Phone: (410) 833-3038
Get Directions

MARYLAND SPINE CARE LLC is a chiropractor in Reisterstown, MD. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MARYLAND SPINE CARE LLC NPI is 1871688945. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

517 MAIN STREET
REISTERSTOWN, MD
ZIP 21136
Phone: (410) 833-3038
Fax: (410) 833-3039

The provider's authorized official is Patrick Ingram .
The authorized official title is Owner and has the following contact phone number (410) 833-3038.

The CLIA number assigned to this NPI record is 21D0871564 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor03384Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
162538403OTHERMARYLANDCAREFIRST MD
2280BMAOTHERMARYLANDCAREFIRST MD
3K0480001OTHERMARYLANDBLUE CHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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