Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

White Marsh Healthcare Physical Medicine LLC

Organization Chiropractor · NPI 1063722700

White Marsh Healthcare Physical Medicine LLC provides Chiropractor services 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 Not confirmed with CMS for 15 years — call before visiting
Phone: (443) 600-5807
Fax: (443) 725-4933
Show map & directions

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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