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Organization
SPRING RIDGE CHIROPRACTIC OF BOONSBORO LLC
Active
Organization
SPRING RIDGE CHIROPRACTIC OF BOONSBORO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA D ORTIZ DC (OWNER/DR)
(301) 620-8566
Entity
Organization
Contact information
Practice address
20311 LAPPANS RD UNIT 102, BOONSBORO, MD 21713-2086
(301) 620-8566
(301) 620-8568
Mailing address
20311 LAPPANS RD UNIT 102, BOONSBORO, MD 21713-2086
(301) 620-8566
(301) 620-8568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S01856
STATE LICENSE
MD
01
—
S01857
STATE LICENSE
MD
01
—
S04024
STATE LICENSE
MD
Enumeration date
06/28/2022
Last updated
06/28/2022
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