1033621446 NPI number — MS. DIXIE MARIE MULLINEAUX LAC.,MAC

Table of content: MS. DIXIE MARIE MULLINEAUX LAC.,MAC (NPI 1033621446)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033621446 NPI number — MS. DIXIE MARIE MULLINEAUX LAC.,MAC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MULLINEAUX
Provider First Name:
DIXIE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LAC.,MAC
Provider Gender Code:
F

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:
1033621446
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
568 PRESTON UNGER CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BERKELEY SPRINGS
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25411-5720
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4801 YELLOWWOOD AVE
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:
21209-4622
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-458-2806
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2017

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: 171100000X , with the licence number:  96214 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 171100000X , with the licence number: U00638 , 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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