MT VERNON SPINE & REHAB


Address: 836 Guilford Ave, Baltimore, MD 21202-3707
Phone: 4102440440

MT VERNON SPINE & REHAB (NPI# 1578074415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578074415
Entity Type Organization
Organization Name MT VERNON SPINE & REHAB
Practice Address 836 Guilford Ave
Baltimore
MD 21202-3707
Practice Telephone 4102440440
Practice Fax Number 4108378665
Mailing Telephone 4102440440
Mailing Fax Number 4108378665
Enumeration Date 2017-10-18
Last Update Date 2017-10-18
Authorized Official Name DR. REGINALD MARCUS ALLEN (PRESIDENT/DOCTOR)
Authorized Official Telephone 4102440440
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor S01983 MD Chiropractic Providers

Office Location

Street Address 836 GUILFORD AVE
City BALTIMORE
State MD
Zip Code 21202-3707

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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

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1528608379 Baltimore Integrative Health LLC Chiropractor 1800 N Charles St Ste 810, Baltimore, MD 21201-5987 2020-01-09
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1710458658 Mid-atlantic Spinal Rehab & Chiropractic Chiropractor 6810 Park Heights Ave Ste C4, Baltimore, MD 21215-1662 2018-12-17
1003381377 Andrea Lynnette Samuels Chiropractor 5411 Old Frederick Rd Ste 2, Baltimore, MD 21229-2126 2018-10-12
1275028706 Gabriel A Martinez Md Pa Chiropractor 9106 Philadelphia Rd Ste 306, Baltimore, MD 21237-4343 2018-06-27
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Competitor

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City BALTIMORE
Zip Code 21202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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