Provider Demographics
NPI:1831575505
Name:CALDWELL, MORGAN LORIN (MA)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LORIN
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3911 WABASH AVE
Mailing Address - Street 2:APT.1A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-7526
Mailing Address - Country:US
Mailing Address - Phone:410-205-0503
Mailing Address - Fax:
Practice Address - Street 1:3911 WABASH AVE
Practice Address - Street 2:APT.1A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-7526
Practice Address - Country:US
Practice Address - Phone:410-205-0503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06150339656146D00000X
MDN2B2X5E9390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program