Provider Demographics
NPI:1033811476
Name:CARRIE DURKEE ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:CARRIE DURKEE ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DURKEE IMMLER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC MAC
Authorized Official - Phone:410-925-2126
Mailing Address - Street 1:3604 STEWART LN
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-1758
Mailing Address - Country:US
Mailing Address - Phone:410-925-2126
Mailing Address - Fax:
Practice Address - Street 1:10806 REISTERSTOWN RD STE 1B
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-2700
Practice Address - Country:US
Practice Address - Phone:410-925-2126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty