Provider Demographics
NPI:1942300314
Name:CHIROPRACTIC CENTRES OF MARYLAND INC
Entity Type:Organization
Organization Name:CHIROPRACTIC CENTRES OF MARYLAND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:ZELLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-833-8440
Mailing Address - Street 1:11710 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-3363
Mailing Address - Country:US
Mailing Address - Phone:410-833-8440
Mailing Address - Fax:410-526-5982
Practice Address - Street 1:11710 REISTERSTOWN RD
Practice Address - Street 2:SUITE 205
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-3363
Practice Address - Country:US
Practice Address - Phone:410-833-8440
Practice Address - Fax:410-526-5982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1003376OtherAMERICAN SPECIALITY HEALT
1017054OtherAETNA HMO AND QPOS
R2320002OtherFEDERAL BCBS
H178CHOtherBCBS
4400195OtherUNITED HEALTH CARE PPO
105304OtherEMPLOYER HEALTH PLANS
5634165OtherCIGNA
295324OtherMAMSI
5455030OtherAETNA PPO
H178OtherBCBS NATIONAL ACCTS
H178OtherBCBS NATIONAL ACCTS
4400195OtherUNITED HEALTH CARE PPO
5634165OtherCIGNA