Organization
SEYMORE CHIROPRACTIC AND PHYSICAL THERAPY CENTERS, LLC
Active
Other names
Maryland Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L SEYMORE DC,PT,CCCN,R.EDT (PRESIDENT)
(410) 877-8077
Entity
Organization
Contact information
Practice address
730 BALTIMORE PIKE, BEL AIR, MD 21014-4244
(410) 877-8077
(410) 877-8577
Mailing address
730 BALTIMORE PIKE, BEL AIR, MD 21014-4244
(410) 877-8077
(410) 877-8577
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
03390
MD
174400000X
Specialist
0013 CCCN
MD
174400000X
Specialist
Primary
20804 PT
MD
225100000X
Physical Therapist
20804
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117137 00
—
MD
01
—
2146627
UNITEDHEALTHCARE
MD
01
—
2162892
FIRST HEALTH
MD
01
—
446469
COVENTRY
MD
01
—
64514901
BCBS RENDERING NUMBER
MD
Enumeration date
05/23/2007
Last updated
10/14/2010
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