Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | S01385 | MD |
N | 111NI0013X | Independent Medical Examiner | S01385 | MD |
N | 111NR0200X | Radiology | S01385 | MD |
N | 213ER0200X | Radiology | S01385 | MD |
N | 111NR0400X | Rehabilitation Chiropractor | S01385 | MD |
N | 225100000X | Physical Therapist | S01385 | MD |
NPI | 1831314897 |
---|---|
Provider Name | Dr. Donald W. Hirsh |
First Address | Laurel, MD 20707-4946 |
Second Address | Laurel, MD 20707-4946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
41519201 | BCBS OF MD RENDERING # (01) | MD |
902106000 | (05) | MD |
F171 | (02) | DC |
F171 | BCBS OF DC (01) | MD |
KAE9 | (02) | MD |