Dr. Octavia C Prince is a Baltimore, Maryland based female chiropractor with 6 years of experience in General Chiropractor. She completed her graduation from Other in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Octavia C Prince as General Chiropractor is S03991 in Maryland. Dr. Octavia C Prince is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Octavia C Prince speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Experience:
6+ years
Medical School Attended:
Other
Graduation Year:
2018
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
6414 Park Heights Ave Ste G1, Baltimore, Maryland, 21215-3064
Phone:
404-263-1004
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8820416381
Enrollment ID:
I20200915002025
NPI Number:
1104442573
NPI Enumeration Date:
22 Jun, 2020
NPI Last Update On:
23 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Octavia C Prince are as mentioned below.
License Number
Specialization
State
Status
S03991
Chiropractor
Maryland
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Octavia C Prince is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Fidel Integrated Medical Solutions Pc (6406165521)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Octavia C Prince such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
887504900
Medicaid
Maryland
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6414 Park Heights Ave Ste G1, Baltimore, Maryland
Zip:
21215-3064
Phone Number:
404-263-1004
Fax Number:
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Patients can reach Dr. Octavia C Prince at 6414 Park Heights Ave Ste G1, Baltimore, Maryland or can call to book an appointment on 404-263-1004. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.