Healthcare Provider Details
I. General information
NPI: 1811766611
Provider Name (Legal Business Name): JOHNS HOPKINS COMMUNITY PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/21/2023
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 N WOLFE ST
BALTIMORE MD
21287-0005
US
IV. Provider business mailing address
6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US
V. Phone/Fax
- Phone: 410-502-2037
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVEN
KRAVET
Title or Position: PRESIDENT
Credential:
Phone: 410-735-4800