Grande Chiropractic Llc in Crofton - Chiropractor
Grande Chiropractic Llc - NPI 1033141890
Grande Chiropractic Llc is a Chiropractor in Crofton, Maryland. Grande Chiropractic Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Grande Chiropractic Llc is 1033141890. The last update date is 2012-11-06.
Grande Chiropractic Llc's current location address is 2411 Crofton Ln, Crofton, Maryland. You can contact this provider via phone number 4104519870 and fax number 4104519872. The mailing address for Grande Chiropractic Llc is 2411 Crofton Ln, Crofton, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grande Chiropractic Llc |
|---|---|
| Address | 2411 Crofton Ln, Crofton, Maryland |
| Phone Number | 4104519870 |
| Fax Number | 4104519872 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Grande A Nicholas |
| Credentials | D.C |
| Telephone Number | 4104519870 |
NPI Number Detail
| NPI Number | 1033141890 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2012-11-06 |
Provider Mailing Address Detail
| Address | 2411 Crofton Ln |
|---|---|
| City | Crofton |
| State | Maryland (MD) |
| Post Code | 211141304 |
| Phone Number | 4104519870 |
| Fax Number | 4104519872 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 111N00000X |
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Definition: 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 inte |
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What is the unique 10-digit identification code assigned to Grande Chiropractic Llc by the Centers for Medicare & Medicaid Services?
The Grande Chiropractic Llc has been issued the NPI (National Provider Identifier) 1033141890, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Grande Chiropractic Llc?
The Grande Chiropractic Llc is physically situated at 2411 Crofton Ln, in the city of Crofton, state of MD, with the postal code 211141304.
What is the Grande Chiropractic Llc's specialty and taxonomy code?
The Grande Chiropractic Llc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033141890 to Grande Chiropractic Llc?
The Centers for Medicare & Medicaid Services originally issued the 1033141890 to Grande Chiropractic Llc on 2006-07-06.
When was the Grande Chiropractic Llc's information last updated?
The Grande Chiropractic Llc's information was last updated on 2012-11-06.
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