Organization
MAIN STREET CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE DINAN D.C. (RESIDENT AGENT)
(443) 851-1914
Entity
Organization
Contact information
Practice address
5760 MAIN ST, ELKRIDGE, MD 21075-5019
(410) 579-1777
(410) 579-1778
Mailing address
1819 FAIRVIEW AVE, HALETHORPE, MD 21227-4509
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03465
MD
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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