Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | SO1243PT | MD |
NPI | 1154480424 |
---|---|
Provider Name | Barbara Leibforth Downes |
First Address | Cockeysville, MD 21030-2506 |
Second Address | Cockeysville, MD 21030-2506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 30/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T91212 | (02) | MD |