MEDICARE: DR. MARK ALAN SHULMAN M.A., D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1203PT	MD

General Provider Information

NPI Number	:	1144225889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ALAN SHULMAN M.A., D.C.

Provider Business Mailing Address
First Line	:	1 QUERN CT
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4957
Country	:	US
Telephone Number	:	410-363-8921
Fax Number	:	410-363-0191

Provider Business Practice Location Address
First Line	:	7411 RIGGS RD
Second Line	:	STE 108
City	:	ADELPHI
State	:	MD
Zip	:	20783-4246
Country	:	US
Telephone Number	:	301-434-6932
Fax Number	:	301-434-0920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2005
Last Update Date	:	07/08/2007

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