William Keen Blaker, D.C.
Individual provider Active NPI Chiropractor · Forest Hill, MD
NPI 1992802011 · NPPES record last updated Feb 26, 2013
Key facts
- NPI
- 1992802011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01480 (MD)
- Practice address
- 2018 Rock Spring Rd
Suite #7
Forest Hill, MD 21050-2631 - Phone
- (410) 879-0400
- Fax
- (410) 879-0494
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01480 | MD | Yes |
Addresses
Primary practice location
2018 Rock Spring Rd
Suite #7
Forest Hill, MD 21050-2631
Mailing address
2018 Rock Spring Rd
Suite #7
Forest Hill, MD 21050-2631
Phone (410) 879-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T090 | Other | MD | FEDERAL BCBS |
| M079WK | Other | MD | BLUE CROSS BLUE SHIELD |
Other providers in Forest Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.