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5419 Deale Churchton Rd Ste 102, Churchton, MD 20733-2408 | |
(443) 607-4908 | |
(443) 203-6575 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor - Rehabilitation |
Location | 5419 Deale Churchton Rd Ste 102, Churchton, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1578105623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Primary |
Provider Name | Errol Jomar Silva |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982005864 PECOS PAC ID: 6901027549 Enrollment ID: I20170418000099 |
Mailing Address | Practice Location Address |
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5419 Deale Churchton Rd Ste 102, Churchton, MD 20733-2408 Ph: (443) 607-4908 | 5419 Deale Churchton Rd Ste 102, Churchton, MD 20733-2408 Ph: (443) 607-4908 |