| Daniel T. Cocks Family Chiropractic, Llc | |
|
9707 Pulaski Hwy Ste B, Baltimore, MD 21220-1407 | |
| (410) 686-4660 | |
| (410) 686-4661 |
| Full Name | Daniel T. Cocks Family Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 9707 Pulaski Hwy Ste B, Baltimore, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093978066 | NPI | - | NPPES |
| 352BDA | Other | MD | CAREFIRST BLUE CROSS BLUE SHIELD |
| 141264ZCAU | Other | MD | MEDICARE GROUP MEMBER PROVIDER IDENTIFIER |
| K120 | Other | MD | CARE FIRST BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 03400 (Maryland) | Primary |
| Provider Name | Daniel T Cocks |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952453953 PECOS PAC ID: 2668436502 Enrollment ID: I20041120000009 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel T. Cocks Family Chiropractic, Llc 9707 Pulaski Hwy Ste B, Baltimore, MD 21220-1407 Ph: (410) 686-4660 | Daniel T. Cocks Family Chiropractic, Llc 9707 Pulaski Hwy Ste B, Baltimore, MD 21220-1407 Ph: (410) 686-4660 |
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