Individual
MR. WILLIAM KEEN BLAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2018 ROCK SPRING RD, SUITE #7, FOREST HILL, MD 21050-2631
(410) 879-0400
(410) 879-0494
Mailing address
2018 ROCK SPRING RD, SUITE #7, FOREST HILL, MD 21050-2631
(410) 879-0400
(410) 879-0494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01480
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M079WK
BLUE CROSS BLUE SHIELD
MD
01
—
T090
FEDERAL BCBS
MD
Enumeration date
09/20/2006
Last updated
02/26/2013
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