Provider Demographics
NPI:1902081946
Name:ANNETTE JOYCE DPM LLC
Entity Type:Organization
Organization Name:ANNETTE JOYCE DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-795-2155
Mailing Address - Street 1:1000 LIBERTY RD
Mailing Address - Street 2:STE 101
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-9810
Mailing Address - Country:US
Mailing Address - Phone:410-795-2155
Mailing Address - Fax:410-795-2154
Practice Address - Street 1:1000 LIBERTY RD
Practice Address - Street 2:STE. 101
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-9810
Practice Address - Country:US
Practice Address - Phone:410-795-2155
Practice Address - Fax:410-795-2154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01310332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403846100OtherMEDICAID
MD403846100OtherMEDICAID