institution
Charles D. Cruickshank, D.c., P.a.
Clinic/Center in Baltimore, Maryland
NPI 1013160456

Charles D. Cruickshank, D.c., P.a. is a Clinic/Center based in Baltimore, MD. Charles D. Cruickshank, D.c., P.a. practices in Baltimore, MD. The NPI Number for Charles D. Cruickshank, D.c., P.a. is 1013160456 and holds a License No. S01776 (Maryland).

The current practice location address for Charles D. Cruickshank, D.c., P.a. is 8615 Ridgelys Choice Dr, Baltimore, MD and can be reached out via phone at 410-529-3913 and via fax at 410-529-3916.

Location: 8615 Ridgelys Choice Dr, Baltimore, MD, 21236-3026
institution
Provider Profile Details
NPI Number
1013160456
Provider Name
Charles D. Cruickshank, D.c., P.a.
Credential
Provider Entity Type
Organization
Address
8615 Ridgelys Choice Dr, Baltimore, MD, 21236-3026
Phone Number
410-529-3913
Fax Number
410-529-3916
Provider Enumeration Date
10/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
691Q 01 MD MEDICARE
M563 01 MD CAREFIRST BLUECROSS BLUESHIELD
W3720001 01 MD GHMSI
institution
Provider Business Practice Location Address Details
Address
8615 Ridgelys Choice Dr
City
State
Zip
21236-3026
Phone Number
410-529-3913
Fax Number
410-529-3916
person
Provider Business Mailing Address Details
Address
8615 Ridgelys Choice Dr
City
State
Zip
21236-3026
Phone Number
410-529-3913
Fax Number
410-529-3916
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
S01776 (Maryland)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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