Holding Chiropractic Clinic Llc | |
4343 Northview Dr Bowie MD 20716-2602 | |
(301) 464-5656 | |
Not Available |
Full Name | Holding Chiropractic Clinic Llc |
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Speciality | Clinic/Center |
Location | 4343 Northview Dr, Bowie, Maryland |
Authorized Official Name and Position | James L. Holding (CLINIC DIRECTOR) |
Authorized Official Contact | 3014645656 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Holding Chiropractic Clinic Llc 4343 Northview Dr Bowie MD 20716-2602 Ph: (301) 464-5656 | Holding Chiropractic Clinic Llc 4343 Northview Dr Bowie MD 20716-2602 Ph: (301) 464-5656 |
NPI Number | 1376668889 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 1456374602 |
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Medicare Enrollment ID | O20060113000284 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376668889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 1186 PT (Maryland) | Primary |
Provider Name | Jonathan C Nou |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1649344334 PECOS PAC ID: 2567453814 Enrollment ID: I20120227000527 |
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