Provider Demographics
NPI:1770324303
Name:PEAKE FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:PEAKE FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-253-1672
Mailing Address - Street 1:8726 TOWN AND COUNTRY BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-3061
Mailing Address - Country:US
Mailing Address - Phone:410-253-1672
Mailing Address - Fax:
Practice Address - Street 1:8726 TOWN AND COUNTRY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-3061
Practice Address - Country:US
Practice Address - Phone:410-253-1672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1760714505OtherTYPE 1 NPI
MDS03648OtherMARYLAND BOARD OF CHIROPRACTIC EXAMINERS