Zipporah Elan in Baltimore - Prosthetic/orthotic Supplier
Zipporah Elan - NPI 1265634190
Zipporah Elan is a Prosthetic/orthotic Supplier in Baltimore, Maryland. Zipporah Elan practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Zipporah Elan is 1265634190. The last update date is 2008-06-17.
Zipporah Elan's current location address is 301 Reisterstown Rd, Baltimore, Maryland. You can contact this provider via phone number 4104864796 and fax number 4104869749. The mailing address for Zipporah Elan is 301 Reisterstown Rd, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Zipporah Elan |
|---|---|
| Address | 301 Reisterstown Rd, Baltimore, Maryland |
| Phone Number | 4104864796 |
| Fax Number | 4104869749 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Elan Michael Terry |
| Credentials | CP |
| Telephone Number | 4104864796 |
NPI Number Detail
| NPI Number | 1265634190 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 301 Reisterstown Rd |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212085313 |
| Phone Number | 4104864796 |
| Fax Number | 4104869749 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | CP2000 |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59336 | AMERIGROUP | ||
| Y120 | BCBS | ||
| 501038100 | MD | -- | |
| 63340001 | BCBS | ||
| 1028269 | ACM | ||
| 58080901 | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Zipporah Elan?
The Zipporah Elan has been issued the NPI (National Provider Identifier) 1265634190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Zipporah Elan?
The Zipporah Elan is situated at 301 Reisterstown Rd, in the city of Baltimore, state of MD, with the zip code 212085313.
What is Zipporah Elan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Zipporah Elan's specialized field of practice is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265634190 to Zipporah Elan?
The Centers for Medicare & Medicaid Services originally issued the 1265634190 to Zipporah Elan on 2007-06-04.
As of what date was the information regarding Zipporah Elan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Zipporah Elan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-17.
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