Chidimma Laqueen Nwosu, DC | |
2001 Eastern Ave Ste 1, Baltimore, MD 21231-3061 | |
(443) 842-5500 | |
Not Available |
Full Name | Chidimma Laqueen Nwosu |
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Gender | Female |
Speciality | Chiropractor |
Location | 2001 Eastern Ave Ste 1, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447993217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | S04153 (Maryland) | Primary |
Provider Name | Mid-atlantic Spinal Rehab & Chiropractic Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386990687 PECOS PAC ID: 3476955212 Enrollment ID: O20210715002282 |
Mailing Address | Practice Location Address |
---|---|
Chidimma Laqueen Nwosu, DC 2001 Eastern Ave Ste 1, Baltimore, MD 21231-3061 Ph: (443) 842-5500 | Chidimma Laqueen Nwosu, DC 2001 Eastern Ave Ste 1, Baltimore, MD 21231-3061 Ph: (443) 842-5500 |
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