Provider Demographics
NPI:1205936515
Name:HAENDLER, NORMAN MARC (D,C,)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:MARC
Last Name:HAENDLER
Suffix:
Gender:M
Credentials:D,C,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19785 CRYSTAL ROCK DRIVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874
Mailing Address - Country:US
Mailing Address - Phone:301-540-5300
Mailing Address - Fax:301-540-5344
Practice Address - Street 1:19785 CRYSTAL ROCK DR STE 303
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-4732
Practice Address - Country:US
Practice Address - Phone:301-540-5300
Practice Address - Fax:301-540-5344
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01693111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD588822700Medicaid
MD722589Medicare PIN
MDU54060Medicare UPIN