Medlin, Debora Kiessel
Medlin, Debora Kiessel is an individual health care provider with primary practice located at 6500 Thayer Ctr , Oakland MD 21550-1116. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Medlin, Debora Kiessel can be contacted via phone (301) 334-1863.Contact Information
Primary practice address
6500 Thayer Ctr
Oakland MD 21550-1116
Phone: (301) 334-1863
Fax: (301) 334-5835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 19741 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 002043 | West Virginia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT016587 | Pennsylvania |
Profile Details
| NPI number | 1235263146 |
|---|---|
| LBN Legal business name | Medlin, Debora Kiessel |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Nov 7th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235263146 | NPPES |
| Maryland | MEDICAID | 186300200 |
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