Provider Demographics
NPI:1437232071
Name:PHIL SALTMAN LAC DIPL AC
Entity Type:Organization
Organization Name:PHIL SALTMAN LAC DIPL AC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC DIPL AC
Authorized Official - Phone:443-326-5481
Mailing Address - Street 1:9199 REISTERSTOWN RD
Mailing Address - Street 2:STE 203B
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117
Mailing Address - Country:US
Mailing Address - Phone:443-326-5481
Mailing Address - Fax:
Practice Address - Street 1:9199 REISTERSTOWN RD
Practice Address - Street 2:STE 203B
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117
Practice Address - Country:US
Practice Address - Phone:443-326-5481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01350171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0001OtherCAREFIRST
MD288BPROtherCAREFIRST
DCK111OtherCAREFIRST
MD64306401OtherCAREFIRST