Elkton Chiropractic Neurology

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

S01301

Legal business name

ELKTON CHIROPRACTIC NEUROLOGY

Practice address

139 East Main Street
Elkton, MD 21921-5782

Phone

(410) 398-2108

NPI assigned

Jan 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel G CharlesNPI 1265484547

Title

President

Phone

(410) 398-2108

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel G Charles, D.C.

  • Neurology Chiropractor
  • Elkton, MD
  • NPI 1265484547
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1841560943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 EAST MAIN STREET",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215782",
            "telephone_number": "410-398-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 EAST MAIN STREET",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215782",
            "telephone_number": "410-398-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKTON CHIROPRACTIC NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-398-2108",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": "S01301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marylou Edgar, LCSW
• Melissa Danielle Edmond, PHARMD
• Elizabeth Lowe, MD LLC
• Cynthia Marie Elko, PSYD
• Elkon-Bear Dental Arts, LLC
• Elkton Foot and Ankle Center, PA
• Elkton Foot and Ankle Center, PA
• Elkton General Surgery, LLC
• Elkton SNF LLC
• Elkton SNF LLC

• Neurology Chiropractor in Elkton, MD
• Providers in Elkton, MD by specialty
• Neurology Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.