1346203510 NPI number — MRS. DIANA FRENCH HOROWITZ MPT

Table of content: MRS. DIANA FRENCH HOROWITZ MPT (NPI 1346203510)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346203510 NPI number — MRS. DIANA FRENCH HOROWITZ MPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOROWITZ
Provider First Name:
DIANA
Provider Middle Name:
FRENCH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FRENCH
Provider Other First Name:
DIANA
Provider Other Middle Name:
CHRISTINE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
MPT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1346203510
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6238 MANCHESTER WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ELKRIDGE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21075-6187
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-551-0123
Provider Business Mailing Address Fax Number:
410-551-0125

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1215 ANNAPOLIS RD
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
ODENTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21113-1344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-551-0123
Provider Business Practice Location Address Fax Number:
410-551-0125
Provider Enumeration Date:
04/10/2006

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: 225100000X , with the licence number:  19760 , 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)





Copyright © 2007-2025 www.npivalidator.com