Provider Demographics
NPI:1184091126
Name:SEMPER, IFE
Entity type:Individual
Prefix:
First Name:IFE
Middle Name:
Last Name:SEMPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 MOUNT HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-2430
Mailing Address - Country:US
Mailing Address - Phone:443-325-3715
Mailing Address - Fax:
Practice Address - Street 1:2141 MOUNT HOLLY ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-2430
Practice Address - Country:US
Practice Address - Phone:443-325-3715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACERT. HAIR LOSS SPEC1744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management