Organization
HENDERSON UPPER CERVICAL CHIROPRACTIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY ROSS HENDERSON D.C. (PRESIDENT)
(410) 665-0000
Entity
Organization
Contact information
Practice address
8304 HARFORD RD, PARKVILLE, MD 21234-5700
(410) 665-0000
Mailing address
8304 HARFORD RD, PARKVILLE, MD 21234-5700
(410) 665-0000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MD 01671
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53254001
BLUE CROSS 8 DIGIT
MD
01
—
FIRST HEALTH
1915501
MH
01
—
M125HE
BLUE CROSS 4 DIGIT
MD
01
—
T 324-0001
BLUE CORSS
MD
Enumeration date
05/23/2007
Last updated
08/22/2020
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