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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