Provider Demographics
NPI:1902883689
Name:FITTINGS BY MICHELE INC
Entity Type:Organization
Organization Name:FITTINGS BY MICHELE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:C
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:410-255-0800
Mailing Address - Street 1:108 CHELSEA GROVE COURT
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122
Mailing Address - Country:US
Mailing Address - Phone:410-255-0800
Mailing Address - Fax:410-255-3522
Practice Address - Street 1:108 CHELSEA GROVE COURT
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122
Practice Address - Country:US
Practice Address - Phone:410-255-0800
Practice Address - Fax:410-255-3522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-23
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
52281408OtherTRICARE
F9280001OtherGHMSI/BCF/BLUE CHOICE
MD054428100Medicaid
ME78OtherBC-MD CAREFIRST BCBS
MD2426982OtherAETNA
MD426019OtherMAMSI
817698OtherJOHNS HOPKINS HEALTHCARE
MD2426982OtherAETNA
ME78OtherBC-MD CAREFIRST BCBS
=========OtherKAISER PERMANENTE