MEDICARE: MR. CAREY NEAL SIGAFOOSE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NX0800X	Orthopedic Chiropractor	S01864	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	604875-02	OTHER	MD	BLUE CROSS RENDERING NUMB
2	K612-0001	OTHER	MD	BLUECROSS
3	924BCN	OTHER	MD	BLUECROSS CAREFIRST

General Provider Information

NPI Number	:	1982729745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CAREY NEAL SIGAFOOSE D.C.

Provider Business Mailing Address
First Line	:	3155 BIRCH BROOK LN
Second Line	:
City	:	ABINGDON
State	:	MD
Zip	:	21009-2735
Country	:	US
Telephone Number	:	410-534-5900
Fax Number	:	410-534-5907

Provider Business Practice Location Address
First Line	:	3500 BOSTON ST
Second Line	:	SUITE 322 MS- #70
City	:	BALTIMORE
State	:	MD
Zip	:	21224-5251
Country	:	US
Telephone Number	:	410-534-5900
Fax Number	:	410-534-5907

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/09/2007

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Directions to “ MR. CAREY NEAL SIGAFOOSE D.C.” Practice Location

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