Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LC0227 | MD |
NPI | 1003905282 |
---|---|
Provider Name | Allen Twigg |
First Address | Hagerstown, MD 21740-5724 |
Second Address | Hagerstown, MD 21740-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
121743 | JOHN HOPKINS HEALTHCARE (01) | MD |
467788 | MAMSI (01) | MD |
697644-01 | BCBS (01) | MD |
IP290532 | MAGELLAN (01) | MD |
PHCS 2235150 | PHCS (01) | MD |