Organization
FITTINGS BY MICHELE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE C OWENS PD (PRESIDENT)
(410) 255-0800
Entity
Organization
Contact information
Practice address
108 CHELSEA GROVE COURT, PASADENA, MD 21122
(410) 255-0800
(410) 255-3522
Mailing address
108 CHELSEA GROVE COURT, PASADENA, MD 21122
(410) 255-0800
(410) 255-3522
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054428100
—
MD
01
—
2426982
AETNA
MD
01
—
426019
MAMSI
MD
01
—
52281408
TRICARE
—
01
—
817698
JOHNS HOPKINS HEALTHCARE
—
01
—
F9280001
GHMSI/BCF/BLUE CHOICE
—
01
—
ME78
BC-MD CAREFIRST BCBS
—
Enumeration date
12/23/2005
Last updated
11/02/2009
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