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Organization
FIDEL INTEGRATED MEDICAL SOLUTIONS PC
Active
Organization
FIDEL INTEGRATED MEDICAL SOLUTIONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILENE ELKINS FIDEL DC (CO-OWNER)
(410) 358-0060
Entity
Organization
Contact information
Practice address
1866F REISTERSTOWN RD, BALTIMORE, MD 21208-1335
(410) 484-5642
(410) 484-5541
Mailing address
1866F REISTERSTOWN RD, BALTIMORE, MD 21208-1335
(410) 484-5642
(410) 484-5541
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/22/2015
Last updated
06/10/2020
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