Provider Demographics
NPI:1568466530
Name:CAREY, MARIA LUISA (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:LUISA
Last Name:CAREY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX A
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21826-0020
Mailing Address - Country:US
Mailing Address - Phone:410-546-2225
Mailing Address - Fax:
Practice Address - Street 1:103 POPLAR STREET
Practice Address - Street 2:
Practice Address - City:FRUITLAND
Practice Address - State:MD
Practice Address - Zip Code:21826
Practice Address - Country:US
Practice Address - Phone:410-546-2225
Practice Address - Fax:410-546-4488
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU48277Medicare UPIN
MDM085Medicare PIN