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

Ellicott City Wellness Chiropractic, LLC

Organization Chiropractor · NPI 1063797694

Ellicott City Wellness Chiropractic, LLC provides Chiropractor services in Ellicott City, Maryland. Licensed in Maryland. Registered with an NPI since 2011.

Licensed in
MD
In the registry since
2011
Specialties on file
2
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

9025 Chevrolet Dr Ste D
Ellicott City, MD 21042-4017 Not confirmed with CMS for 13 years — call before visiting
Phone: (410) 750-2540
Fax: (410) 750-2541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1468 PT (MD)
Chiropractor Taxonomy 111N00000X · Licence 1467 PT (MD)

Record details

NPI number1063797694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Heaton — Doctor · (410) 750-2540
NPI enumeratedOctober 14, 2011
Last updated in NPPESJanuary 28, 2013
Mailing address9025 Chevrolet Dr, Suite D, Ellicott City, MD 21042-4017

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