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Organization
HENDERSON UPPER CERVICAL CHIROPRACTIC P.A.
Active
Organization
HENDERSON UPPER CERVICAL CHIROPRACTIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY ROSS HENDERSON D.C. (PRESIDENT)
(410) 665-0000
Entity
Organization
Contact information
Practice address
8304 HARFORD RD, PARKVILLE, MD 21234-5700
(410) 665-0000
Mailing address
8304 HARFORD RD, PARKVILLE, MD 21234-5700
(410) 665-0000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MD 01671
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53254001
BLUE CROSS 8 DIGIT
MD
01
—
FIRST HEALTH
1915501
MH
01
—
M125HE
BLUE CROSS 4 DIGIT
MD
01
—
T 324-0001
BLUE CORSS
MD
Enumeration date
05/23/2007
Last updated
08/22/2020
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