Healthcare Provider Details

I. General information

NPI: 1659282945
Provider Name (Legal Business Name): DENISE GUN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

998 HOSPITALITY WAY STE 103
ABERDEEN MD
21001-1757
US

IV. Provider business mailing address

998 HOSPITALITY WAY STE 103
ABERDEEN MD
21001-1757
US

V. Phone/Fax

Practice location:
  • Phone: 410-273-5351
  • Fax: 410-273-7020
Mailing address:
  • Phone: 410-273-5351
  • Fax: 410-273-7020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberS04023
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: