Full Spectrum Llc

LBN: Full Spectrum Llc
Full Spectrum Llc is an health care organization with primary practice located at 925 Roscommon Rd , Bryn Mawr PA 19010-1842. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Full Spectrum Llc can be contacted via phone (215) 313-0057, or through Shoemaker, Marcy A via phone (215) 313-0057.

Contact Information

Primary practice address
925 Roscommon Rd Bryn Mawr PA 19010-1842
Phone: (215) 313-0057
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shoemaker, Marcy A PSY.D.
Phone: (215) 313-0057

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X PS016629 Pennsylvania

Profile Details

NPI number 1538496138
LBN Legal business name Full Spectrum Llc
DBA Doing business as
Authorized official Shoemaker, Marcy A PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2009
Last updated Jan 13th, 2010 - about 14 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 1538496138 NPPES
Pennsylvania Other PTAN 039191 MEDICARE PTAN: 039191

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