Provider Demographics
NPI:1942366182
Name:PALMITER, PRISCILLA J (DC)
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:J
Last Name:PALMITER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 E MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2513
Mailing Address - Country:US
Mailing Address - Phone:410-850-4300
Mailing Address - Fax:410-684-3940
Practice Address - Street 1:107 E MAPLE RD
Practice Address - Street 2:
Practice Address - City:LINTHICUM
Practice Address - State:MD
Practice Address - Zip Code:21090-2513
Practice Address - Country:US
Practice Address - Phone:410-850-4300
Practice Address - Fax:410-684-3940
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01227111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM635 418907-01OtherCAREFIRST
MDM635 418907-01OtherCAREFIRST
MD1942366182Medicare UPIN
MD1942366182Medicare PIN
TX1942366182Medicare UPIN
TX1942366182Medicare PIN
TX1942366182Medicare Oscar/Certification