Healthcare Provider Details

I. General information

NPI: 1174746366
Provider Name (Legal Business Name): HARFORD COUNTY CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N PHILADELPHIA BLVD STE J
ABERDEEN MD
21001-2532
US

IV. Provider business mailing address

200 N PHILADELPHIA BLVD SUITE J
ABERDEEN MD
21001
US

V. Phone/Fax

Practice location:
  • Phone: 410-273-9000
  • Fax: 410-273-9535
Mailing address:
  • Phone: 410-273-9000
  • Fax: 410-273-9535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberSO1389
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberSO1389
License Number StateMD

VIII. Authorized Official

Name: WILLIAM DAVID MURPHY
Title or Position: OWNER
Credential: DC
Phone: 410-273-9535