Healthcare Provider Details

I. General information

NPI: 1518023514
Provider Name (Legal Business Name): MARK ANTHONY ALEXANDER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 PARK CENTER CT STE 200
OWINGS MILLS MD
21117-5614
US

IV. Provider business mailing address

4 PARK CENTER CT STE 200
OWINGS MILLS MD
21117-5614
US

V. Phone/Fax

Practice location:
  • Phone: 410-377-8900
  • Fax: 410-377-0576
Mailing address:
  • Phone: 410-377-8900
  • Fax: 410-377-0576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberS03449
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: