Individual provider · Type 1 NPI
Emmanuel J. Easterling
Student in an Organized Health Care Education/Training Program · Fort George G Meade, MD
NPI number
1245456086
Active
Practice location
2480 Llewellyn Ave
Fort George G Meade, MD 20755-5800
Fax (301) 677-8176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1245456086
Emmanuel J. Easterling's National Provider Identifier is 1245456086, issued on Apr 18, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort George G Meade, MD. The record was last updated on Jul 8, 2007.