1184942914 NPI number — FACES ENTERPRISES TOWSON LTD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184942914 NPI number — FACES ENTERPRISES TOWSON LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FACES ENTERPRISES TOWSON LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1184942914
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/04/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 WEST RD
Provider Second Line Business Mailing Address:
SUITE 350
Provider Business Mailing Address City Name:
TOWSON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21204-2316
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-296-4099
Provider Business Mailing Address Fax Number:
410-296-3328

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
894 KENILWORTH DR
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
TOWSON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21204-2201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-828-8666
Provider Business Practice Location Address Fax Number:
410-828-6438
Provider Enumeration Date:
05/04/2010

Additional Information

Authorized Official

Authorized Official Last Name:
HUTCHINSON
Authorized Official First Name:
MAUREEN
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
ACUPUNCTURIST
Authorized Official Telephone Number:
410-828-8666

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  UO1214 , 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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