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Contact Information

CENTREVILLE CHIROPRACTIC CENTER
101 WATER WAY
CENTREVILLE, MD21617
 Phone: 410-758-3800
 Fax: 410-758-2022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CENTREVILLE CHIROPRACTIC CENTER

NPI # 1174702625
LBN Legal business name CENTREVILLE CHIROPRACTIC CENTER
Authorized official KELLY VAN SANT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2007
Last updated 11/01/2007 - About 19 years ago
Identifiers
MD License # 02138
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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