NPI 1215123476

Bel Air Family Chiropractic LLC

Organisation Health Maintenance Organization Bel Air, MD

Practice location

Address: 1212 E Churchville Rd Suite 201, Bel Air, MD 21014-3416
Phone: (410) 836-7005
Fax: (410) 836-6524

Authorised official

Name: Blaine Johnson
Title: Dr
Phone: (410) 836-7005

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 01963 (MD)

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Registry record

NPI: 1215123476
Entity type: Organization
NPI issued: 21 Sep 2007
Record last updated: 17 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.