Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

White Marsh Healthcare Physical Medicine LLC

Organization Chiropractor · NPI 1063722700

White Marsh Healthcare Physical Medicine LLC is a Chiropractor in White Marsh, Maryland. Licensed in Maryland. Registered with an NPI since 2010.

Licensed in
MD
In the registry since
2010
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5430 Campbell Blvd Ste 106
White Marsh, MD 21162
Phone: (443) 600-5807
Fax: (443) 725-4933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Chiropractor Taxonomy 111N00000X · Licence 03606 (MD)
Chiropractor Taxonomy 111N00000X · Licence 03470 (MD)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD20215 (MD)
General Practice Physician Taxonomy 208D00000X · Licence D27411 (MD)
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Physician Assistant Taxonomy 363A00000X · Licence C3824 (MD)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C0000614 (MD)

Record details

NPI number1063722700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Gober — Owner · (443) 600-5807
NPI enumeratedOctober 15, 2010
Last updated in NPPESAugust 10, 2011
Mailing address5430 Campbell Blvd., Ste. 106, White Marsh, MD 21162

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