Individual
DR. JOHN DANIEL HERBSTSOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3903 SKYVIEW DR, MOUNT AIRY, MD 21771-4507
(301) 829-5954
Mailing address
3903 SKYVIEW DR, MOUNT AIRY, MD 21771-4507
(301) 829-5954
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01719
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237707
MAMSI
MD
01
—
671937
UNITED HEALTHCARE
MD
01
—
M237
CAREFIRST BCBS
MD
01
—
S2170001
CAREFIRST BCBS DC NAT CAP
DC
Enumeration date
02/11/2007
Last updated
07/08/2007
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