1841863198 NPI number — MONTIKA MICKIERA CARTER-BROWN

Table of content: MONTIKA MICKIERA CARTER-BROWN (NPI 1841863198)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841863198 NPI number — MONTIKA MICKIERA CARTER-BROWN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARTER-BROWN
Provider First Name:
MONTIKA
Provider Middle Name:
MICKIERA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
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:
1841863198
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/22/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8401 FORESIGHT LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WALKERSVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21793-7855
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-820-6379
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8401 FORESIGHT LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALKERSVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21793-7855
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-820-6379
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/22/2021

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: 342000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: C-636-609-603-500 . This is a "MVA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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