1841522075 NPI number — CMK RESOURCE GROUP

Table of content: MS. VICKI LYNN MILLENDER PTA (NPI 1528268059)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841522075 NPI number — CMK RESOURCE GROUP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CMK RESOURCE GROUP
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:
1841522075
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/15/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 N CHARLES ST
Provider Second Line Business Mailing Address:
SUITE 1205
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21201-3740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-685-2550
Provider Business Mailing Address Fax Number:
410-625-6177

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 N CHARLES ST
Provider Second Line Business Practice Location Address:
SUITE 1205
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21201-3740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-685-2550
Provider Business Practice Location Address Fax Number:
410-625-6177
Provider Enumeration Date:
02/15/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BURNS
Authorized Official First Name:
ROY
Authorized Official Middle Name:
CHRISTOPHER
Authorized Official Title or Position:
BUSINESS DEVELOPMENT CONSULTANT
Authorized Official Telephone Number:
410-685-2550

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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