Provider Demographics
NPI:1861116212
Name:SPECIALIZED CHIROPRACTIC CARE, LLC
Entity type:Organization
Organization Name:SPECIALIZED CHIROPRACTIC CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AMHED
Authorized Official - Middle Name:
Authorized Official - Last Name:AMHED
Authorized Official - Suffix:
Authorized Official - Credentials:BC
Authorized Official - Phone:404-884-3066
Mailing Address - Street 1:249 BARRETT RUN PL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-2971
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:677 E PULASKI HWY STE 1B
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-6057
Practice Address - Country:US
Practice Address - Phone:302-595-3670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center