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Organization
MCDERMOTT CHIROPRACTIC CENTRE LTD
Active
Organization
MCDERMOTT CHIROPRACTIC CENTRE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ROBERT MCDERMOTT OC CCSP (PRESIDENT)
(410) 569-1099
Entity
Organization
Contact information
Practice address
319 S UNION AVE, HAVRE DE GRACE, MD 21078-3201
(410) 939-1111
(410) 642-3552
Mailing address
614 CRABAPPLE COURT, BEL AIR, MD 21015-6032
(410) 569-1099
(410) 642-3552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1540
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BSDC
—
01
—
104646
JHHC
—
01
—
2020433
AHMO
—
01
—
258998
AMOP
—
01
—
31787
COVE
—
05
—
365452400
—
MD
01
—
4400163
UNHC
—
01
—
53490401
BSMD
—
01
—
5921641
APPO
—
01
—
P00046203
RRMC
—
Enumeration date
09/28/2006
Last updated
10/09/2009
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