Ellicott City Primary Care Medicine Pa
LBN: Ellicott City Primary Care Medicine Pa
Ellicott City Primary Care Medicine Pa is an health care organization with primary practice located at 10298B Baltimore National Pike , Ellicott City MD 21042-3670. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Ellicott City Primary Care Medicine Pa can be contacted via phone (410) 465-1091, or through Sheehan, Charles Edward via phone (410) 465-1090.
Contact Information
Primary practice address
10298B Baltimore National Pike
Ellicott City MD 21042-3670
Phone: (410) 465-1091
Fax: (410) 465-8129
Website:
Authorized official contact:
Name: Sheehan, Charles Edward Doctor of Medicine (MD)
Phone: (410) 465-1090
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0028246 | Maryland |
Profile Details
| NPI number | 1033391081 |
|---|---|
| LBN Legal business name | Ellicott City Primary Care Medicine Pa |
| DBA Doing business as | |
| Authorized official | Sheehan, Charles Edward Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 2nd, 2007 |
| Last updated | Sep 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033391081 | NPPES |
| Other | ORGANIZATIONAL NPI | 1033391081 |
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