Provider Demographics
NPI:1104468909
Name:PERKINSON, SHEILA M (LAC)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:M
Last Name:PERKINSON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 FELL ST UNIT 602
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-3547
Mailing Address - Country:US
Mailing Address - Phone:301-980-3942
Mailing Address - Fax:
Practice Address - Street 1:960 FELL ST UNIT 602
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-3547
Practice Address - Country:US
Practice Address - Phone:301-980-3942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-13
Last Update Date:2019-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02680171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist