Provider Demographics
NPI:1699836015
Name:SPECTOR, NORMAN FRANK (DC)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:FRANK
Last Name:SPECTOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 E JOPPA RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5805
Mailing Address - Country:US
Mailing Address - Phone:410-321-7210
Mailing Address - Fax:410-321-7473
Practice Address - Street 1:1102 E JOPPA RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5805
Practice Address - Country:US
Practice Address - Phone:410-321-7210
Practice Address - Fax:410-321-7173
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1088111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD36393001OtherCAREFIRST
MD36393001OtherCAREFIRST
MDT59611Medicare UPIN
MDM796Medicare ID - Type Unspecified