Organization
CHARLES D. CRUICKSHANK, D.C., P.A.
Active
Organization
CHARLES D. CRUICKSHANK, D.C., P.A.
Active
Other names
Baltimore Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DAVID CRUICKSHANK D.C. (OWNER/PRESIDENT)
(410) 529-3913
Entity
Organization
Contact information
Practice address
8615 RIDGELYS CHOICE DR, 104, BALTIMORE, MD 21236-3026
(410) 529-3913
(410) 529-3916
Mailing address
8615 RIDGELYS CHOICE DR, 104, BALTIMORE, MD 21236-3026
(410) 529-3913
(410) 529-3916
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
S01776
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
691Q
MEDICARE
MD
01
—
M563
CAREFIRST BLUECROSS BLUESHIELD
MD
01
—
W3720001
GHMSI
MD
Enumeration date
10/29/2008
Last updated
10/29/2008
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