Centreville Chiropractic Center

NPI #1174702625 in Centreville, Maryland

Provider Information

NPI Number: 1174702625
Entity Type: Organization
Organization Name: Centreville Chiropractic Center
Primary Specialty: Chiropractor
Enumeration Date: Nov 1, 2007
Last Updated: Nov 1, 2007

Practice Location

Address: 101 WATER WAY
City: Centreville
State: Maryland
ZIP Code: 21617
Phone: (410) 758-3800

Authorized Official

Name: DR. KELLY F VAN SANT, DC
Title: OWNER
Phone: (410) 758-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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