Maryland Chiropractic & Physical Medicine LLC
Chiropractor in Edgewater, MD. Organization (NPI-2).
NPI number1114403045
StatusActive
Last updated in NPPESJul 13, 2018
Details
- NPI
- 1114403045
- Entity type
- Organization (NPI-2)
- Legal business name
- Maryland Chiropractic & Physical Medicine LLC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2018
- Last updated
- Jul 13, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | S03774 | MD | Yes |
Practice location
137 Mitchells Chance Rd Ste 100Edgewater, MD 21037-2793
Phone 443-294-6873 · Fax 443-294-6874
Mailing address
137 Mitchells Chance Rd Ste 100Edgewater, MD 21037-2793
Authorized official
Derek Curran
Owner/Chiropractor
4432946873
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All 9 Chiropractor providers in Edgewater · All 348 providers in Edgewater
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