Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 1462 | MD |
NPI | 1376762260 |
---|---|
Provider Name | Dr. Marty V Cairns |
First Address | Hagerstown, MD 21740-3821 |
Second Address | Hagerstown, MD 21740-3821 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 08/07/2007 |