MARKO KOROPECKYJ HAD, NPI 1750632063 — BALTIMORE (MD)

NPI 1750632063

7+ Years Experience Individual

MARKO KOROPECKYJ HAD

09/26/2012
PROVIDER ENUMERATION DATE
09/26/2012
LAST UPDATE DATE
1750632063
NPI NUMBER

About MARKO KOROPECKYJ

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

MARKO KOROPECKYJ is a provider established in BALTIMORE, MD. The NPI number of MARKO KOROPECKYJ is 1750632063 and was assigned on 09/26/2012. The practitioners primary taxonomy code is: 332S00000X MD .

Mailing address

  • City: BALTIMORE
  • State: MD
  • Postal code: 212243415
  • Phone: 4102887100
  • Fax: 4102887102
  • Address: 1005 N POINT BLVD
  • Address 2: STE. 705

Primary Practice Address

  • Region : BALTIMORE, MD
  • NPI : 1750632063
  • Phone : 4102887100
  • Fax : 4102887102
  • Postalcode : 212243415
  • Address : 1005 N POINT BLVD STE. 705

Provider taxonomy - Hearing Aid Equipment

  • Taxonomy code: 332S00000X
  • License state: MD

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis.

Contacts:

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  • MARKO KOROPECKYJ HAD
  • Address : 1005 N POINT BLVD STE. 705
  • Region : BALTIMORE, MD
  • NPI : 1750632063
  • Phone : 4102887100
  • Fax : 4102887102
  • Postalcode : 212243415

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1005 N POINT BLVD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSTE. 705
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameBALTIMORE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMD
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code212243415
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number4102887100
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number4102887102
The fax number associated with the location address of the provider being identified.
NPI1750632063
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1332S00000X
The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis.
Provider Enumeration Date09/26/2012
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated09/26/2012
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MARKO KOROPECKYJ
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1005 N POINT BLVD
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressSTE. 705
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameBALTIMORE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMD
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code212243415
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number4102887100
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number4102887102
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1332S00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Hearing Aid Equipment
The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis.
Provider License Number State Code 1MD
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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