Roland Park Chiropractic, Llc | |
6301 N Charles St Ste 1 Baltimore MD 21212-1040 | |
(443) 841-7817 | |
(443) 815-4778 |
Full Name | Roland Park Chiropractic, Llc |
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Speciality | Clinic/Center |
Location | 6301 N Charles St Ste 1, Baltimore, Maryland |
Authorized Official Name and Position | Silke Laub (MANGER/MEMBER) |
Authorized Official Contact | 5033806897 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roland Park Chiropractic, Llc 6307 Boxwood Rd Baltimore MD 21212-2211 Ph: (971) 238-9670 | Roland Park Chiropractic, Llc 6301 N Charles St Ste 1 Baltimore MD 21212-1040 Ph: (443) 841-7817 |
NPI Number | 1790195238 |
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Provider Enumeration Date | 05/06/2014 |
Last Update Date | 05/03/2018 |
Medicare PECOS PAC ID | 6002164597 |
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Medicare Enrollment ID | O20180731001424 |
Identifier | Type | State | Issuer |
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1790195238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 5560 (Oregon) | Secondary |
261Q00000X | Clinic/center | C16813 (Maryland) | Primary |
Provider Name | Silke Laub |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942628029 PECOS PAC ID: 5092063594 Enrollment ID: I20180731001618 |
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