Gangl Perez, Nicole Marie

Gangl Perez, Nicole Marie is an individual health care provider with primary practice located at 331 Oak Manor Dr Ste 101 , Glen Burnie MD 21061-5553. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Gangl Perez, Nicole Marie can be contacted via phone (410) 766-4878.

Contact Information

Primary practice address
331 Oak Manor Dr Ste 101 Glen Burnie MD 21061-5553
Phone: (410) 766-4878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X S03716 Maryland

Profile Details

NPI number 1144272873
LBN Legal business name Gangl Perez, Nicole Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Aug 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144272873 NPPES
Minnesota MEDICAID 649470000

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