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1261 W Pratt St Ste D, Baltimore, MD 21223-2666 | |
(443) 842-5500 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 1261 W Pratt St Ste D, 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 |
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1134848120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Zachary Woods |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306358098 PECOS PAC ID: 4880099167 Enrollment ID: I20210825000935 |
Mailing Address | Practice Location Address |
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Po Box 69549, Baltimore, MD 21264-9549 Ph: (443) 842-5500 | 1261 W Pratt St Ste D, Baltimore, MD 21223-2666 Ph: (443) 842-5500 |
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