Provider Demographics
NPI:1326092933
Name:MAJORS MEDICAL SUPPLY
Entity Type:Organization
Organization Name:MAJORS MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:AGNES
Authorized Official - Last Name:BLACKBURN
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:410-944-0600
Mailing Address - Street 1:2622 LORD BALTIMORE DR
Mailing Address - Street 2:STE F
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2639
Mailing Address - Country:US
Mailing Address - Phone:410-944-0900
Mailing Address - Fax:410-944-5468
Practice Address - Street 1:2622 LORD BALTIMORE DR
Practice Address - Street 2:STE F
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-2639
Practice Address - Country:US
Practice Address - Phone:410-944-0900
Practice Address - Fax:410-944-5468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2295332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD54402602OtherBCBS PROVIDER #
MD54402602OtherBCBS PROVIDER #