Provider Demographics
NPI:1407183411
Name:WORLD CLASS CHIROPRACTIC PC
Entity Type:Organization
Organization Name:WORLD CLASS CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-461-3435
Mailing Address - Street 1:4785 DORSEY HALL DR
Mailing Address - Street 2:SUITE 124
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7728
Mailing Address - Country:US
Mailing Address - Phone:410-461-3435
Mailing Address - Fax:410-461-3438
Practice Address - Street 1:4785 DORSEY HALL DR
Practice Address - Street 2:SUITE 124
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7728
Practice Address - Country:US
Practice Address - Phone:410-461-3435
Practice Address - Fax:410-461-3438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-11
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty