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Organization
WHOLE BODY HEALTHCARE PARKVILLE LLC
Active
Organization
WHOLE BODY HEALTHCARE PARKVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. DORN JR. DC (OWNER)
(443) 552-5552
Entity
Organization
Contact information
Practice address
1740 E JOPPA RD STE 101, PARKVILLE, MD 21234-3623
(443) 552-5552
Mailing address
1501 AMESHIRE RD, LUTHERVILLE TIMONIUM, MD 21093-5919
(410) 916-6888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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