Healthcare Provider Details

I. General information

NPI: 1982729745
Provider Name (Legal Business Name): CAREY NEAL SIGAFOOSE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 BOSTON ST SUITE 322 MS- #70
BALTIMORE MD
21224-5251
US

IV. Provider business mailing address

3155 BIRCH BROOK LN
ABINGDON MD
21009-2735
US

V. Phone/Fax

Practice location:
  • Phone: 410-534-5900
  • Fax: 410-534-5907
Mailing address:
  • Phone: 410-534-5900
  • Fax: 410-534-5907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberS01864
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: