Organization
ACTIVE HEALTH CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY MARIE BALL D.C. (CHIROPRACTOR)
(410) 480-1852
Entity
Organization
Contact information
Practice address
3525 ELLICOTT MILLS DR, SUITE F, ELLICOTT CITY, MD 21043-4547
(410) 480-1852
(410) 480-1857
Mailing address
3525 ELLICOTT MILLS DR, SUITE F, ELLICOTT CITY, MD 21043-4547
(410) 480-1852
(410) 480-1857
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F852
CAREFIRST DC
MD
01
—
KCC4
CAREFIRST
MD
Enumeration date
03/27/2007
Last updated
07/16/2010
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