Individual
PATRICK EDWARD INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
517 MAIN STREET, REISTERSTOWN, MD 21136
(410) 833-3038
(410) 833-3039
Mailing address
517 MAIN STREET, REISTERSTOWN, MD 21136
(410) 833-3038
(410) 833-3039
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03384
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055N901F
PTAN
MD
01
—
280BMA
CARE FIRST MD
MD
01
—
62538403
CARE FIRST MD
MD
01
—
K0480001
BLUE CHOICE
MD
Enumeration date
10/25/2006
Last updated
05/14/2014
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