Philip Mark Divelbiss in Hagerstown - Chiropractor
Philip Mark Divelbiss - NPI 1104828763
Philip Mark Divelbiss is a Chiropractor in Hagerstown, Maryland. Philip Mark Divelbiss practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Philip Mark Divelbiss is 1104828763. The last update date is 2007-07-08.
Philip Mark Divelbiss's current location address is 19414 Leitersburg Pike, Hagerstown, Maryland. You can contact this provider via phone number 3017392987 and fax number 3017397664. The mailing address for Philip Mark Divelbiss is 19414 Leitersburg Pike, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip Mark Divelbiss |
|---|---|
| Address | 19414 Leitersburg Pike, Hagerstown, Maryland |
| Phone Number | 3017392987 |
| Fax Number | 3017397664 |
| Sole Proprietor | X |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1104828763 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19414 Leitersburg Pike |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 217427601 |
| Phone Number | 3017392987 |
| Fax Number | 3017397664 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | S01195 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| T9550001 | BLUE CHOICE MD DC |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Philip Mark Divelbiss by the Centers for Medicare & Medicaid Services?
The Philip Mark Divelbiss has been issued the NPI (National Provider Identifier) 1104828763, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Philip Mark Divelbiss is geographically located?
The Philip Mark Divelbiss is physically situated at the following location: 19414 Leitersburg Pike, Hagerstown, MD, 217427601.
What is Philip Mark Divelbiss's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Philip Mark Divelbiss is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Philip Mark Divelbiss receive its 1104828763 assignment from the Centers for Medicare & Medicaid Services?
The Philip Mark Divelbiss was assigned its 1104828763 by the Centers for Medicare & Medicaid Services on 2005-08-12.
As of what date were the details pertaining to Philip Mark Divelbiss last refreshed?
The information related to the Philip Mark Divelbiss, including its address, specialty, and other relevant details, was last updated on 2007-07-08.