Organization
WHOLE BODY HEALTHCARE PARKVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. DORN JR. DC (OWNER)
(443) 552-5552
Entity
Organization
Contact information
Practice address
1740 E JOPPA RD STE 101, PARKVILLE, MD 21234-3623
(443) 552-5552
Mailing address
1501 AMESHIRE RD, LUTHERVILLE TIMONIUM, MD 21093-5919
(410) 916-6888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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