# WHOLE BODY HEALTHCARE PARKVILLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578139291
- **Authorized official:** DR. MICHAEL A. DORN JR. DC (OWNER)
- **Authorized official phone:** (443) 552-5552

## Contact information

- **Practice address:** 1740 E JOPPA RD STE 101, PARKVILLE, MD 21234-3623
- **Practice address phone:** (443) 552-5552
- **Mailing address:** 1501 AMESHIRE RD, LUTHERVILLE TIMONIUM, MD 21093-5919
- **Mailing address phone:** (410) 916-6888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 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