Provider Demographics
NPI:1437798428
Name:PFEIFFER CHIROPRACTIC AND REHAB
Entity Type:Organization
Organization Name:PFEIFFER CHIROPRACTIC AND REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PFEIFFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-982-1612
Mailing Address - Street 1:11528 HOUCK RD
Mailing Address - Street 2:
Mailing Address - City:UNION BRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21791-8613
Mailing Address - Country:US
Mailing Address - Phone:410-982-1612
Mailing Address - Fax:
Practice Address - Street 1:8502 KELSO DR
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-3135
Practice Address - Country:US
Practice Address - Phone:410-982-1612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-23
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty