MEDICARE: ACME MEDICAL SUPPLIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	PENDING	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568496594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACME MEDICAL SUPPLIES, INC.

Provider Business Mailing Address
First Line	:	1498 REISTERSTOWN RD STE 107
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21208-3817
Country	:	US
Telephone Number	:	410-415-5707
Fax Number	:	410-415-7337

Provider Business Practice Location Address
First Line	:	1498 REISTERSTOWN RD STE 107
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21208-3817
Country	:	US
Telephone Number	:	410-415-5707
Fax Number	:	410-415-7337

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TATYANA SILINKER
Credential	:
Telephone Number	:	443-220-5784

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	01/18/2018

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