Provider Demographics
NPI:1679268908
Name:DOT EXAM EXPRESS INC
Entity Type:Organization
Organization Name:DOT EXAM EXPRESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:E
Authorized Official - Last Name:INGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:443-540-2294
Mailing Address - Street 1:4601 BENSON AVE
Mailing Address - Street 2:
Mailing Address - City:HALETHORPE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-1410
Mailing Address - Country:US
Mailing Address - Phone:443-234-9277
Mailing Address - Fax:443-234-9308
Practice Address - Street 1:4601 BENSON AVE
Practice Address - Street 2:
Practice Address - City:HALETHORPE
Practice Address - State:MD
Practice Address - Zip Code:21227-1410
Practice Address - Country:US
Practice Address - Phone:443-234-9277
Practice Address - Fax:443-234-9308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty