Organization
PELLERIN CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINGER RENEE PELLERIN D.C. (CHIROPRACTOR)
(410) 672-1672
Entity
Organization
Contact information
Practice address
1413 ANNPOLIS ROAD, SUITE 100, ODENTON, MD 21113
(410) 672-1672
(410) 672-1700
Mailing address
1413 ANNPOLIS ROAD, SUITE 100, ODENTON, MD 21113
(410) 672-1672
(410) 672-1700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03482
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28BJGR
BCBS PROVIDER #
MD
01
—
68660001
BCBS PROVIDER #
DC
Enumeration date
04/17/2007
Last updated
08/22/2020
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