Basics Group Practice, Llc

LBN: Basics Group Practice, Llc
Basics Group Practice, Llc is an health care organization with primary practice located at 7610 Pennsylvania Ave Suite #203, Forestville MD 20747-4701. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Basics Group Practice, Llc can be contacted via phone (301) 420-1972, or through Ferebee, Daniel N via phone (301) 420-1972.

Contact Information

Primary practice address
7610 Pennsylvania Ave Suite #203 Forestville MD 20747-4701
Fax: (301) 420-1973
Website:
Authorized official contact:
Name: Ferebee, Daniel N

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 04481 Maryland

Profile Details

NPI number 1134486079
LBN Legal business name Basics Group Practice, Llc
DBA Doing business as
Authorized official Ferebee, Daniel N
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2012
Last updated Apr 17th, 2012 - about 12 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 1134486079 NPPES
Maryland MEDICAID 417682100
Maryland MEDICAID 036596300
Maryland MEDICAID 417682101

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