Provider Demographics
NPI:1801192190
Name:ANNETTE JOYCE DPM LLC
Entity Type:Organization
Organization Name:ANNETTE JOYCE DPM LLC
Other - Org Name:JOYCE, LEWIS PODIATRY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-861-5092
Mailing Address - Street 1:826 WASHINGTON RD
Mailing Address - Street 2:206
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5780
Mailing Address - Country:US
Mailing Address - Phone:410-861-5092
Mailing Address - Fax:410-861-5093
Practice Address - Street 1:826 WASHINGTON RD
Practice Address - Street 2:206
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5780
Practice Address - Country:US
Practice Address - Phone:410-861-5092
Practice Address - Fax:410-861-5093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01310332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4575960003Medicare NSC