Organization
DANIEL T. COCKS FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T COCKS D.C. (OWNER)
(410) 686-4660
Entity
Organization
Contact information
Practice address
9707 PULASKI HWY STE B, BALTIMORE, MD 21220-1407
(410) 686-4660
(410) 686-4661
Mailing address
9707 PULASKI HWY STE B, BALTIMORE, MD 21220-1407
(410) 686-4660
(410) 686-4661
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03400
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141264ZCAU
MEDICARE GROUP MEMBER PROVIDER IDENTIFIER
MD
01
—
352BDA
CAREFIRST BLUE CROSS BLUE SHIELD
MD
01
—
K120
CARE FIRST BLUE CHOICE
MD
Enumeration date
07/09/2008
Last updated
01/26/2009
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