| Harbor Bay Clinic Of Chiropractic, Llc | |
|
23620 Three Notch Rd Hollywood MD 20636-3082 | |
| (240) 237-8281 | |
| Not Available |
| Full Name | Harbor Bay Clinic Of Chiropractic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23620 Three Notch Rd, Hollywood, Maryland |
| Authorized Official Name and Position | Stacey Dent (MEMBER/OWNER) |
| Authorized Official Contact | 2402378281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Bay Clinic Of Chiropractic, Llc 45319 Saint Georges Ave Piney Point MD 20674-3112 Ph: () - | Harbor Bay Clinic Of Chiropractic, Llc 23620 Three Notch Rd Hollywood MD 20636-3082 Ph: (240) 237-8281 |
| NPI Number | 1649562711 |
|---|---|
| Provider Enumeration Date | 05/09/2011 |
| Last Update Date | 05/09/2011 |
| Medicare PECOS PAC ID | 9032396817 |
|---|---|
| Medicare Enrollment ID | O20110603000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649562711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 03634 (Maryland) | Primary |
| Provider Name | Stacey Dent |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306138466 PECOS PAC ID: 0941487722 Enrollment ID: I20110603000096 |
| Provider Name | Julie Ann Wilkening |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194824755 PECOS PAC ID: 6507868742 Enrollment ID: I20160715000027 |
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Youngsik Moon, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24435 Mervell Dean Rd, Hollywood, MD 20636 Phone: 301-373-2116 Fax: 301-373-5281 | |
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Shah Associates Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24035 Three Notch Rd, Hollywood, MD 20636 Phone: 301-373-7900 Fax: 301-373-6900 |