1326092933 NPI number — MAJORS MEDICAL SUPPLY

Table of content: MS. RACHEL RITA COLE L.C.S.W. (NPI 1134219975)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326092933 NPI number — MAJORS MEDICAL SUPPLY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAJORS MEDICAL SUPPLY
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:
1326092933
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2622 LORD BALTIMORE DR
Provider Second Line Business Mailing Address:
STE F
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21244-2639
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-944-0900
Provider Business Mailing Address Fax Number:
410-944-5468

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2622 LORD BALTIMORE DR
Provider Second Line Business Practice Location Address:
STE F
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21244-2639
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-944-0900
Provider Business Practice Location Address Fax Number:
410-944-5468
Provider Enumeration Date:
05/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BLACKBURN
Authorized Official First Name:
MARJORIE
Authorized Official Middle Name:
AGNES
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
410-944-0600

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  R2295 , 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: 54402602 . This is a "BCBS PROVIDER #" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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