Alice Tanner M.D.,Pc

LBN: Alice Tanner M.D.,Pc
Alice Tanner M.D.,Pc is an health care organization with primary practice located at 1406 Crain Hwy S Suite 104, Glen Burnie MD 21061-4058. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Alice Tanner M.D.,Pc can be contacted via phone (410) 768-2231, or through Tanner, Alice Patricia via phone (410) 768-2231.

Contact Information

Primary practice address
1406 Crain Hwy S Suite 104 Glen Burnie MD 21061-4058
Phone: (410) 768-2231
Fax: (410) 760-4522
Website:
Map and Directions
Authorized official contact:
Name: Tanner, Alice Patricia Doctor of Medicine (MD)
Phone: (410) 768-2231

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1013184159
LBN Legal business name Alice Tanner M.D.,Pc
DBA Doing business as
Authorized official Tanner, Alice Patricia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2008
Last updated May 8th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013184159 NPPES
Maryland MEDICAID 215896500

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