=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982729745
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAREY NEAL SIGAFOOSE D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/20/2007
-----------------------------------------------------
Last Update Date | 07/09/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3500 BOSTON ST SUITE 322 MS- #70
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21224-5251
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-534-5900
-----------------------------------------------------
Fax | 410-534-5907
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3155 BIRCH BROOK LN
-----------------------------------------------------
City | ABINGDON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21009-2735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-534-5900
-----------------------------------------------------
Fax | 410-534-5907
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111NX0800X
-----------------------------------------------------
Taxonomy Name | Orthopedic Chiropractor
-----------------------------------------------------
License Number | S01864
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------