Organization
PARKWAY NEUROSCIENCE AND SPINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A MOSER (BILLING MANAGER)
(301) 797-6389
Entity
Organization
Contact information
Practice address
17 WESTERN MARYLAND PKWY, SUITE 100, HAGERSTOWN, MD 21740-5471
(301) 797-6389
Mailing address
17 WESTERN MARYLAND PKWY, SUITE 100, HAGERSTOWN, MD 21740-5471
(301) 797-6389
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123707100
—
MD
01
—
983143
PA BLUE SHIELD MD LOC
PA
01
—
988178
PA BLUE SHIELD PA LOC
PA
01
—
CI1442
RR MEDICARE
—
01
—
KG85
MD BLUE SHIELD
MD
01
—
W2660000
MD BLUE SHIELD
MD
Enumeration date
07/20/2006
Last updated
05/29/2015
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