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Dr. Heather Mccoy Blackiston, DC
Chiropractor in North East, Maryland
NPI 1619926623

Heather Mccoy Blackiston is a Chiropractor based in North East, MD. Heather Mccoy Blackiston practices in North East, MD and has the professional credentials of DC. The NPI Number for Heather Mccoy Blackiston is 1619926623 and holds a License No. 02079 (Maryland).

The current practice location address for Heather Mccoy Blackiston is 2316 Pulaski Hwy Ste B, North East, MD and can be reached out via phone at 410-642-9110 and via fax at 410-642-9113.

Location: 2316 Pulaski Hwy Ste B, North East, MD, 21901-3730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619926623
Provider Name
Heather Mccoy Blackiston
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
2316 Pulaski Hwy Ste B, North East, MD, 21901-3730
Phone Number
410-642-9110
Fax Number
410-642-9113
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2912304 01 AETNA INS
61670301 01 CAREFIRST BC
institution
Provider Business Practice Location Address Details
Address
2316 Pulaski Hwy Ste B
City
North East
State
Maryland
Zip
21901-3730
Phone Number
410-642-9110
Fax Number
410-642-9113
person
Provider Business Mailing Address Details
Address
2316 Pulaski Hwy Ste B
City
North East
State
Maryland
Zip
21901-3730
Phone Number
410-642-9110
Fax Number
410-642-9113
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
02079 (Maryland)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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