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NPI Code Detail

MEDICARE: DR. PAUL HENRY D.C.

MEDICARE: DR. PAUL HENRY 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
1111N00000XChiropractor1638MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E6610001OTHERMDCAREFIRST
24640851OTHERAETNA
3KCF3OTHERMDCAREFIRST BCBS

General Provider Information

NPI Number : 1275619819
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL HENRY D.C.
Provider Business Mailing Address
First Line : 1103 N POINT BLVD
Second Line : SUITE 404
City : BALTIMORE
State : MD
Zip : 21224-3469
Country : US
Telephone Number : 410-285-2600
Fax Number : 410-285-4942
Provider Business Practice Location Address
First Line : 1103 N POINT BLVD
Second Line : SUITE 404
City : BALTIMORE
State : MD
Zip : 21224-3469
Country : US
Telephone Number : 410-285-2600
Fax Number : 410-285-4942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 12/27/2007

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Directions to “ DR. PAUL HENRY D.C.” Practice Location

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