1881986347 NPI number — WE CARE CHIROPRACTIC, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881986347 NPI number — WE CARE CHIROPRACTIC, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WE CARE CHIROPRACTIC, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881986347
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12138 CENTRAL AVE.
Provider Second Line Business Mailing Address:
SUITE 526
Provider Business Mailing Address City Name:
BOWIE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20721
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-770-5401
Provider Business Mailing Address Fax Number:
240-770-5403

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
525 EASTERN AVE.
Provider Second Line Business Practice Location Address:
SUITE A-1
Provider Business Practice Location Address City Name:
FAIRMOUNT HEIGHTS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20743
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-770-5401
Provider Business Practice Location Address Fax Number:
240-770-5403
Provider Enumeration Date:
05/03/2011

Additional Information

Authorized Official

Authorized Official Last Name:
PADILLA
Authorized Official First Name:
MADELINE
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
240-770-5401

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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