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Contact Information

MICHELLE RENEE CRANIAL PROTHESIS
6019 MARLBORO PIKE
DISTRICT HEIGHTS, MD20747-2147
 Phone: 240-355-6533
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MICHELLE RENEE CRANIAL PROTHESIS

NPI Number 1740980044
LBN Legal business name MICHELLE RENEE CRANIAL PROTHESIS
Authorized official MICHELLE MASON - (SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2023
Last updated 03/06/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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