Provider Demographics
NPI:1295933463
Name:JOHN W REES JR P.C.
Entity type:Organization
Organization Name:JOHN W REES JR P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:REES
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:410-520-0046
Mailing Address - Street 1:300 SEABAY LANE
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21842
Mailing Address - Country:US
Mailing Address - Phone:410-520-0046
Mailing Address - Fax:401-520-0335
Practice Address - Street 1:300 SEABAY LANE
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:MD
Practice Address - Zip Code:21842
Practice Address - Country:US
Practice Address - Phone:410-520-0046
Practice Address - Fax:401-520-0335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01191111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM693OtherBLUE CROSS BLUE SHIELD
MDR0910001OtherBLUE CROSS BLUE SH FED
MD238PMedicare ID - Type UnspecifiedMEDICARE
MDR0910001OtherBLUE CROSS BLUE SH FED