Backpack Medical Group Pc

LBN: Backpack Medical Group Pc
Backpack Medical Group Pc is an health care organization with primary practice located at 6655 Santa Barbara Rd Unit 8574 , Elkridge MD 21075-7523. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is the primary health care specialty. Backpack Medical Group Pc can be contacted via phone (866) 968-6342, or through Ruktanonchai, Duke via phone (630) 306-4394.

Contact Information

Primary practice address
6655 Santa Barbara Rd Unit 8574 Elkridge MD 21075-7523
Phone: (866) 968-6342
Fax: (855) 615-2876
Website:
Map and Directions
Authorized official contact:
Name: Ruktanonchai, Duke Doctor of Medicine (MD)
Phone: (630) 306-4394

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1851177570
LBN Legal business name Backpack Medical Group Pc
DBA Doing business as
Authorized official Ruktanonchai, Duke Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2023
Last updated Sep 7th, 2023 - about 2 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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