Ellicott City Wellness Chiropractic, L.l.c.
NPI #1063797694 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1063797694
- Entity Type
- Organization
- Organization Name
- Ellicott City Wellness Chiropractic, L.l.c.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 14, 2011
- Last Updated
- Jan 28, 2013
Practice Location
- Address
- 9025 CHEVROLET DR
- Address 2
- SUITE D
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21042-4017
- Phone
- (410) 750-2540
Authorized Official
- Name
- DR. BRIAN G. HEATON, D.C.
- Title
- DOCTOR
- Phone
- (410) 750-2540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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