Organization
VALLEY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS R. TRAVAGLINE D.C. (OWNER)
(310) 624-0024
Entity
Organization
Contact information
Practice address
110 BAUGHMANS LN STE 200, FREDERICK, MD 21702-4916
(301) 624-0024
(301) 624-0026
Mailing address
110 BAUGHMANS LN STE 200, FREDERICK, MD 21702-4916
(301) 624-0024
(301) 624-0026
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S02048
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1584302
CAREFIRST BC/BS
MD
01
—
J571-0001
CAREFIRST BC/BS
DC
Enumeration date
08/14/2007
Last updated
07/30/2019
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