Kay B O'hara Pa Eastern Chiropractic | |
616 Eastern Blvd, Baltimore, MD 21221-4907 | |
(410) 686-1117 | |
(410) 686-1751 |
Full Name | Kay B O'hara Pa Eastern Chiropractic |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 616 Eastern Blvd, 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 |
---|---|---|---|
1144341702 | NPI | - | NPPES |
K104 | Other | MD | CAREFIRST |
T139 0001 | Other | MD | CAREFIRST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | S01499 (Maryland) | Primary |
Provider Name | Kay B O'hara |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780760371 PECOS PAC ID: 5698829489 Enrollment ID: I20090813000047 |
Mailing Address | Practice Location Address |
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Kay B O'hara Pa Eastern Chiropractic 616 Eastern Blvd, Baltimore, MD 21221 Ph: (410) 686-1117 | Kay B O'hara Pa Eastern Chiropractic 616 Eastern Blvd, Baltimore, MD 21221-4907 Ph: (410) 686-1117 |
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