Healthcare Provider Details

I. General information

NPI: 1255510251
Provider Name (Legal Business Name): NEVIN K. MARKEL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 11/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 OAK MANOR DR SUITE 201
GLEN BURNIE MD
21061-5548
US

IV. Provider business mailing address

331 OAK MANOR DR SUITE 201
GLEN BURNIE MD
21061-5548
US

V. Phone/Fax

Practice location:
  • Phone: 443-749-0001
  • Fax: 443-749-0011
Mailing address:
  • Phone: 443-749-0001
  • Fax: 443-749-0011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberC006705
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: