Provider Demographics
NPI:1982729745
Name:SIGAFOOSE, CAREY NEAL (DC)
Entity type:Individual
Prefix:MR
First Name:CAREY
Middle Name:NEAL
Last Name:SIGAFOOSE
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 1:3155 BIRCH BROOK LN
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2735
Mailing Address - Country:US
Mailing Address - Phone:410-534-5900
Mailing Address - Fax:410-534-5907
Practice Address - Street 1:3500 BOSTON ST
Practice Address - Street 2:SUITE 322 MS- #70
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-5251
Practice Address - Country:US
Practice Address - Phone:410-534-5900
Practice Address - Fax:410-534-5907
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01864111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD604875-02OtherBLUE CROSS RENDERING NUMB
MDK612-0001OtherBLUECROSS
MD924BCNOtherBLUECROSS CAREFIRST
MDK612-0001OtherBLUECROSS
MD924BCNOtherBLUECROSS CAREFIRST