Divine Internal Medicine Llc
LBN: Divine Internal Medicine Llc
Divine Internal Medicine Llc is an health care organization with primary practice located at 28 Flint Dr , North East MD 21901-3746. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Divine Internal Medicine Llc can be contacted via phone (443) 877-6194, or through Ope, Cornelius via phone (443) 877-6194.
Contact Information
Primary practice address
28 Flint Dr
North East MD 21901-3746
Phone: (443) 877-6194
Fax: (443) 877-6235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1295032852 |
|---|---|
| LBN Legal business name | Divine Internal Medicine Llc |
| DBA Doing business as | |
| Authorized official | Ope, Cornelius Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 17th, 2011 |
| Last updated | Jun 10th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295032852 | NPPES |
| Maryland | Other | 217678 | MEDICARE PTAN |
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