Provider Demographics
NPI:1033364088
Name:CHARLES P. PALAMONE, D.C., PA
Entity Type:Organization
Organization Name:CHARLES P. PALAMONE, D.C., PA
Other - Org Name:PALAMONE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:PALAMONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-795-7766
Mailing Address - Street 1:6220 GEORGETOWN BLVD
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6417
Mailing Address - Country:US
Mailing Address - Phone:410-795-7766
Mailing Address - Fax:410-795-7000
Practice Address - Street 1:6220 GEORGETOWN BLVD
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6417
Practice Address - Country:US
Practice Address - Phone:410-795-7766
Practice Address - Fax:410-795-7000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1541111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU28220Medicare UPIN