1841340668 NPI number — MR. DON GREY DIGGS LIC. ACUPUNCTURIST

Table of content: MR. DON GREY DIGGS LIC. ACUPUNCTURIST (NPI 1841340668)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841340668 NPI number — MR. DON GREY DIGGS LIC. ACUPUNCTURIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DIGGS
Provider First Name:
DON
Provider Middle Name:
GREY
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LIC. ACUPUNCTURIST
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841340668
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/12/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5009 DURHAM RD E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21044-1420
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-807-5770
Provider Business Mailing Address Fax Number:
410-740-2581

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8218 WISCONSIN AVE
Provider Second Line Business Practice Location Address:
SUITE 304
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20814-3107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-654-9369
Provider Business Practice Location Address Fax Number:
301-654-8552
Provider Enumeration Date:
01/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  U00831 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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