Provider Demographics
NPI:1386700243
Name:AMY & ANTHONY RECCE DC PA
Entity type:Organization
Organization Name:AMY & ANTHONY RECCE DC PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:E
Authorized Official - Last Name:RECCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-766-0333
Mailing Address - Street 1:806 LANDMARK DR STE 126
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4966
Mailing Address - Country:US
Mailing Address - Phone:410-766-0333
Mailing Address - Fax:410-766-9289
Practice Address - Street 1:7231 B RITCHIE HIGHWAY
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060
Practice Address - Country:US
Practice Address - Phone:410-766-0333
Practice Address - Fax:410-766-9289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01803 PT111N00000X
MD01804PT111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLN17MAOtherBCBS OF MARYLAND
R112OtherBCBS FEDERAL GHMSI
R112OtherBCBS FEDERAL GHMSI