Provider Demographics
NPI:1407921620
Name:MCPARTLAND, PETER PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:PAUL
Last Name:MCPARTLAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12335 B GEORGIA AVENUE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906
Mailing Address - Country:US
Mailing Address - Phone:301-946-8720
Mailing Address - Fax:301-949-5257
Practice Address - Street 1:12335 B GEORGIA AVENUE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906
Practice Address - Country:US
Practice Address - Phone:301-946-8720
Practice Address - Fax:301-949-5257
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01199111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCT73500Medicare UPIN
MDMC077073Medicare ID - Type Unspecified
T73500Medicare UPIN