Provider Demographics
NPI:1154696672
Name:BIEMER, CAITLIN MARIE (CHPT)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:MARIE
Last Name:BIEMER
Suffix:
Gender:F
Credentials:CHPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1052 STONEBROOK RD
Mailing Address - Street 2:UNIT D
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6191
Mailing Address - Country:US
Mailing Address - Phone:443-605-9342
Mailing Address - Fax:
Practice Address - Street 1:1052 STONEBROOK RD
Practice Address - Street 2:UNIT D
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6191
Practice Address - Country:US
Practice Address - Phone:443-605-9342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDT00928183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD440101080555601OtherPTCB