Provider Demographics
NPI:1770778904
Name:LEY, MARY ANN C (DC)
Entity type:Individual
Prefix:DR
First Name:MARY ANN
Middle Name:C
Last Name:LEY
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 1:9 BRIARWOOD FARM CT
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-5644
Mailing Address - Country:US
Mailing Address - Phone:410-453-9296
Mailing Address - Fax:
Practice Address - Street 1:9 BRIARWOOD FARM CT
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-5644
Practice Address - Country:US
Practice Address - Phone:410-453-9296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor