1902813488 NPI number — DR. LORRIE MICHELLE FILSINGER-MILLER DPT, MPT

Table of content: DR. LORRIE MICHELLE FILSINGER-MILLER DPT, MPT (NPI 1902813488)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902813488 NPI number — DR. LORRIE MICHELLE FILSINGER-MILLER DPT, MPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FILSINGER-MILLER
Provider First Name:
LORRIE
Provider Middle Name:
MICHELLE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPT, MPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FILSINGER
Provider Other First Name:
LORRIE
Provider Other Middle Name:
MICHELLE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DPT, MPT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1902813488
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
225 GOLDEN WOODS COURT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SWANTON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21561
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-387-2532
Provider Business Mailing Address Fax Number:
301-334-5835

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
225 GOLDEN WOODS COURT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SWANTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21561
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-334-1863
Provider Business Practice Location Address Fax Number:
301-334-5835
Provider Enumeration Date:
08/01/2006

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: 225100000X , with the licence number:  20672 , 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)