Annapolis Back & Neck Center, Llc | |
914 Bay Ridge Rd Ste 150, Annapolis, MD 21403-3953 | |
(410) 267-0033 | |
(410) 267-0444 |
Full Name | Annapolis Back & Neck Center, Llc |
---|---|
Type | Facility |
Speciality | Chiropractor - Sports Physician |
Location | 914 Bay Ridge Rd Ste 150, Annapolis, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164796181 | NPI | - | NPPES |
M155 | Other | MD | BCBS |
W2090001 | Other | MD | BCBS FEP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NS0005X | Chiropractor - Sports Physician | S01457 (Maryland) | Primary |
Provider Name | James Michael Wagner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1083791818 PECOS PAC ID: 1951561257 Enrollment ID: I20120323000534 |
Mailing Address | Practice Location Address |
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Annapolis Back & Neck Center, Llc 914 Bay Ridge Rd Ste 150, Annapolis, MD 21403-3953 Ph: (410) 267-0033 | Annapolis Back & Neck Center, Llc 914 Bay Ridge Rd Ste 150, Annapolis, MD 21403-3953 Ph: (410) 267-0033 |
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James M Wagner, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 107 Ridgely Ave, Ste. 11, Annapolis, MD 21401 Phone: 410-267-0033 Fax: 410-267-0667 | |
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