Individual
MICHAEL JOSEPH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
7839 WISE AVE, BALTIMORE, MD 21222-3339
(410) 288-1800
(410) 288-1818
Mailing address
7839 WISE AVE, BALTIMORE, MD 21222-3339
(410) 288-1800
(410) 288-1818
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01387
MD
111N00000X
Chiropractor
3485
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128138100
—
MD
01
—
M494
CAREFIRST BLUE CROSS
MD
01
—
W2960001
CAREFIRST BLUE CHOICE
MD
Enumeration date
06/29/2006
Last updated
03/14/2012
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