Provider Demographics
NPI:1942628029
Name:LAUB, SILKE (DC)
Entity Type:Individual
Prefix:DR
First Name:SILKE
Middle Name:
Last Name:LAUB
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 1:6307 BOXWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2211
Mailing Address - Country:US
Mailing Address - Phone:971-238-9670
Mailing Address - Fax:
Practice Address - Street 1:6301 N CHARLES ST STE 1
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-1040
Practice Address - Country:US
Practice Address - Phone:071-238-9670
Practice Address - Fax:971-275-1849
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5560111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC16813OtherMARYLAND BOARD OF CHIROPRACTIC EXAMINER