Provider Demographics
NPI:1588148019
Name:HERMAN, EMILY ROSE (LICENSED ACUPUNCTURI)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:ROSE
Last Name:HERMAN
Suffix:
Gender:F
Credentials:LICENSED ACUPUNCTURI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 INCHCAPE CIR APT 3A
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3424
Mailing Address - Country:US
Mailing Address - Phone:410-808-0664
Mailing Address - Fax:
Practice Address - Street 1:22 W PADONIA RD STE B324
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2243
Practice Address - Country:US
Practice Address - Phone:358-344-3521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01982171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist