| Dr Randy Harclerode, DC | |
|
9385 Washington Blvd N Ste B-c, Laurel, MD 20723-1381 | |
| (240) 749-6821 | |
| Not Available |
| Full Name | Dr Randy Harclerode |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 9385 Washington Blvd N Ste B-c, Laurel, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295591477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 04208 (Maryland) | Primary |
| Provider Name | Greensfelder Chiropractic, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184873168 PECOS PAC ID: 5092734152 Enrollment ID: O20051117000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randy Harclerode, DC 9385 Washington Blvd N Ste B-c, Laurel, MD 20723-1381 Ph: (240) 749-6821 | Dr Randy Harclerode, DC 9385 Washington Blvd N Ste B-c, Laurel, MD 20723-1381 Ph: (240) 749-6821 |
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