Organization
TWO CHICKS, LLC
Active
Parent organization
BROADNECK FAMILY CHIROPRACTIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROADNECK FAMILY CHIROPRACTIC
Authorized official
DR. MARISSA I WALLIE (OWNER)
(410) 349-2727
Entity
Organization
Contact information
Practice address
530 COLLEGE PKWY, SUITE F, ANNAPOLIS, MD 21409-4614
(410) 349-2727
(410) 349-4605
Mailing address
530 COLLEGE PKWY, SUITE F, ANNAPOLIS, MD 21409-4614
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01760
MD
111N00000X
Chiropractor
Primary
01998
MD
Other
Enumeration date
10/03/2007
Last updated
07/30/2008
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