1922097617 NPI number — DR. CAROLINE H ALAND AUD

Table of content: DR. CAROLINE H ALAND AUD (NPI 1922097617)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922097617 NPI number — DR. CAROLINE H ALAND AUD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALAND
Provider First Name:
CAROLINE
Provider Middle Name:
H
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
AUD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOLLAND
Provider Other First Name:
CAROLINE
Provider Other Middle Name:
DEROSSET
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1922097617
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/21/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
580 RITCHIE HWY STE I
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEVERNA PARK
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21146-3926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-496-0929
Provider Business Mailing Address Fax Number:
410-315-8823

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
580 RITCHIE HWY
Provider Second Line Business Practice Location Address:
STE I
Provider Business Practice Location Address City Name:
SEVERNA PARK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21146-3924
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-647-7795
Provider Business Practice Location Address Fax Number:
410-315-8823
Provider Enumeration Date:
10/17/2005

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: 231H00000X , with the licence number:  00484 , 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)

  • Identifier: 21425 . This is a "ALLIANCE MAMSI MDIPA OPTI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 505592 . This is a "US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: KW03 . This is a "BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4560313 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 53637402 . This is a "CAREFIRST BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0001F190 . This is a "CAREFIRST BLUE CHOICE BLU" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6868696 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com