Provider Demographics
NPI:1114108032
Name:FRAN'S NU IMAGE, INC.
Entity Type:Organization
Organization Name:FRAN'S NU IMAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CERTIFIED FITTER
Authorized Official - Prefix:
Authorized Official - First Name:MARI-FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:QUADE
Authorized Official - Suffix:
Authorized Official - Credentials:CMF
Authorized Official - Phone:301-843-9282
Mailing Address - Street 1:PO BOX 995
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20604-0995
Mailing Address - Country:US
Mailing Address - Phone:301-843-9282
Mailing Address - Fax:301-645-2131
Practice Address - Street 1:11705 BERRY ROAD
Practice Address - Street 2:THE BARLEY BUILDING , SUITE 303
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-5933
Practice Address - Country:US
Practice Address - Phone:301-843-9282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08195359332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD409268600Medicaid
MD409268600Medicaid