Provider Demographics
NPI:1245453927
Name:WEBSTER, PAMELA SUE (DC)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:SUE
Last Name:WEBSTER
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:PO BOX 281
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20763-0281
Mailing Address - Country:US
Mailing Address - Phone:301-725-6206
Mailing Address - Fax:
Practice Address - Street 1:9519 SWEET GRASS RDG
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2066
Practice Address - Country:US
Practice Address - Phone:301-725-6206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor