1023319282 NPI number — FRANKLIN SQUARE HOSPITAL CENTER

Table of content: DR. JILLIAN KATHLEEN MILLER M.D. (NPI 1144483470)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023319282 NPI number — FRANKLIN SQUARE HOSPITAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANKLIN SQUARE HOSPITAL CENTER
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:
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:
1023319282
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/04/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22812 POINT LOOKOUT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEONARDTOWN
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20650-6104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-416-2324
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9000 FRANKLIN SQUARE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21237-3901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-777-7415
Provider Business Practice Location Address Fax Number:
443-777-8342
Provider Enumeration Date:
11/04/2010

Additional Information

Authorized Official

Authorized Official Last Name:
HESSELTON
Authorized Official First Name:
JACKIE
Authorized Official Middle Name:
Authorized Official Title or Position:
DEPARTMENT OF PHYSICIAN ASSISTANT
Authorized Official Telephone Number:
443-777-7415

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  C0004293 , 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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