Healthcare Provider Details

I. General information

NPI: 1124233531
Provider Name (Legal Business Name): ANTHONY L WARD DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 RHODE ISLAND AVE NE
WASHINGTON DC
20018
US

IV. Provider business mailing address

15514 BENJAMIN RING ST
BRANDYWINE MD
20613
US

V. Phone/Fax

Practice location:
  • Phone: 301-257-5030
  • Fax:
Mailing address:
  • Phone: 301-257-5030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH030040
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: