1245301027 NPI number — DANKMEYER INC

Table of content: (NPI 1245301027)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245301027 NPI number — DANKMEYER INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DANKMEYER INC
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:
1245301027
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
825D N HAMMONDS FERRY ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINTHICUM
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21090-1355
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-636-8114
Provider Business Mailing Address Fax Number:
410-636-8325

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
825D N HAMMONDS FERRY ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINTHICUM
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21090-1355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-636-8114
Provider Business Practice Location Address Fax Number:
410-636-5665
Provider Enumeration Date:
11/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BRYL
Authorized Official First Name:
ANGELA
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
410-636-8114

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 418958202 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 418958205 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0148053000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 418958201 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 418958204 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 418958203 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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