Healthcare Provider Details

I. General information

NPI: 1144549577
Provider Name (Legal Business Name): JAMES NORMAN, DC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2010
Last Update Date: 05/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

648B POOLE ROAD
WESTMINSTER MD
21157
US

IV. Provider business mailing address

648B POOLE ROAD
WESTMINSTER MD
21157
US

V. Phone/Fax

Practice location:
  • Phone: 410-848-6161
  • Fax: 410-848-5215
Mailing address:
  • Phone: 410-848-6161
  • Fax: 410-848-5215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberS01254
License Number StateMD

VIII. Authorized Official

Name: MR. JAMES NORMAN
Title or Position: OWNER PRESIDENT
Credential: DC
Phone: 410-848-6161