1891360178 NPI number — DR. ALANNA B SCHLOSS AUD

Table of content: DR. ALANNA B SCHLOSS AUD (NPI 1891360178)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891360178 NPI number — DR. ALANNA B SCHLOSS AUD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHLOSS
Provider First Name:
ALANNA
Provider Middle Name:
B
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
AUD
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:
1891360178
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/11/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19110 MONTGOMERY VILLAGE AVE STE 120
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTGOMERY VILLAGE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20886-3706
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-977-6317
Provider Business Mailing Address Fax Number:
301-977-8503

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11119 ROCKVILLE PIKE STE 210
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20852-3200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-468-3977
Provider Business Practice Location Address Fax Number:
301-468-3978
Provider Enumeration Date:
05/20/2021

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: 237600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 206285200 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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