Provider Demographics
NPI:1225241664
Name:EMG DIAGNOSTICS INC
Entity Type:Organization
Organization Name:EMG DIAGNOSTICS INC
Other - Org Name:CHESAPEAKE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ROBIN
Authorized Official - Last Name:BAILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-252-7770
Mailing Address - Street 1:PO BOX 4036
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21094-4036
Mailing Address - Country:US
Mailing Address - Phone:410-252-7770
Mailing Address - Fax:410-252-7774
Practice Address - Street 1:54 SCOTT ADAM RD STE 104
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-3351
Practice Address - Country:US
Practice Address - Phone:410-252-7770
Practice Address - Fax:410-252-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2135093OtherMDIPA/UNITED HEALTHCARE
MD8317193OtherAETNA
MD158289OtherASHN
MDKEB3CH-03OtherBLUE CROSS BLUE SHIELD
MD2292011OtherUNITED HEALTHCARE
MD35626OtherCOVENTRY
MDR1230000OtherCAREFIRST BLUECHOICE
MD2292011OtherUNITED HEALTHCARE