1235464173 NPI number — MS. ELIZABETH JEAN VERPLANK L.AC

Table of content: MS. ELIZABETH JEAN VERPLANK L.AC (NPI 1235464173)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235464173 NPI number — MS. ELIZABETH JEAN VERPLANK L.AC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VERPLANK
Provider First Name:
ELIZABETH
Provider Middle Name:
JEAN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
L.AC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VERPLANK
Provider Other First Name:
ELIZABETH
Provider Other Middle Name:
JEAN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
L.AC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1235464173
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/09/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
723 RIVERSIDE DR
Provider Second Line Business Mailing Address:
SALISBURY
Provider Business Mailing Address City Name:
SALISBURY
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21801
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-713-0782
Provider Business Mailing Address Fax Number:
407-209-0206

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
229 WEST MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-713-0782
Provider Business Practice Location Address Fax Number:
407-209-0206
Provider Enumeration Date:
10/09/2009

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:  U01631 , 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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