Organization
GRIMSLEY CHIROPRACTIC SERVICES, P.C.
Active
Other names
Henry Chiropractic and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MICHAEL GRIMSLEY D.C. (OWNER)
(301) 737-0662
Entity
Organization
Contact information
Practice address
22780 THREE NOTCH RD, LEXINGTON PARK, MD 20653-1538
(301) 737-0662
(301) 737-0675
Mailing address
22780 THREE NOTCH RD, LEXINGTON PARK, MD 20653-1538
(301) 737-0662
(301) 737-0675
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1525
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147743500
FEDERAL WC
MH
01
—
2174552
AETNA HMO
MD
01
—
427879
ALLIANCE
MD
01
—
4794219 002
CIGNA PPO
MD
01
—
47942219 003
CIGNA HMO
MD
01
—
5870444
AETNA PPO POS
MD
01
—
LK96GR
BLUE CROSS MD
MD
01
—
T289 0001
BC FEP
MP
Enumeration date
04/10/2007
Last updated
10/10/2011
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