| Fidel Chiropractic Center, Inc. | |
|
1866 Reisterstown Rd # F, Baltimore, MD 21208-1335 | |
| (410) 484-5642 | |
| (410) 484-5541 |
| Full Name | Fidel Chiropractic Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 1866 Reisterstown Rd # F, 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 |
|---|---|---|---|
| 1134345101 | NPI | - | NPPES |
| 251N | Other | MD | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 1340 (Maryland) | Primary |
| Provider Name | Ilene E Fidel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003995879 PECOS PAC ID: 1951347178 Enrollment ID: I20050630000755 |
| Provider Name | Adam M Fidel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154490050 PECOS PAC ID: 7618901158 Enrollment ID: I20050923000150 |
| Provider Name | Antoine Jerrell Wright |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306439492 PECOS PAC ID: 8729494893 Enrollment ID: I20210316000473 |
| Mailing Address | Practice Location Address |
|---|---|
| Fidel Chiropractic Center, Inc. 1866 Reisterstown Rd # F, Baltimore, MD 21208-1335 Ph: (410) 484-5642 | Fidel Chiropractic Center, Inc. 1866 Reisterstown Rd # F, Baltimore, MD 21208-1335 Ph: (410) 484-5642 |
Maryland Healthcare Clinics Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8113 Harford Rd, Suite 200, Baltimore, MD 21234 Phone: 410-882-5882 Fax: 410-882-2933 | |
Dr. Elliott Poehlman, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 38 Bloomsbury Ave, Baltimore, MD 21228 Phone: 410-788-2225 Fax: 410-788-0633 | |
Robert Paul Marvenko, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 8305 Liberty Rd, Baltimore, MD 21244 Phone: 410-922-4341 Fax: 410-922-5727 | |
Dr. Ilene Elkins Fidel, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6414 Park Heights Avenue, G1, Baltimore, MD 21215 Phone: 410-358-0060 Fax: 410-358-0103 | |
Liberty Medical & Injury Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7034 Liberty Rd., Baltimore, MD 21207 Phone: 410-580-9191 Fax: 410-580-9393 | |
Dr. Douglas Miller & Associates Chiropractor Medicare: Medicare Enrolled Practice Location: 3739 Wilkens Ave, Baltimore, MD 21229 Phone: 410-646-2222 Fax: 410-646-2502 | |
Multi-specialty Healthcare Chiropractor Medicare: Medicare Enrolled Practice Location: 9601 Pulaski Park Dr, Suite 416, Baltimore, MD 21220 Phone: 410-933-5678 Fax: 410-933-1823 |