Liberty Pediatrics, Llc

LBN: Liberty Pediatrics, Llc
Liberty Pediatrics, Llc is an health care organization with primary practice located at 1030 Liberty Rd Suite 100, Eldersburg MD 21784-7941. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Liberty Pediatrics, Llc can be contacted via phone (410) 549-0900, or through Hickey, Thomas D. via phone (410) 549-0900.

Contact Information

Primary practice address
1030 Liberty Rd Suite 100 Eldersburg MD 21784-7941
Phone: (410) 549-0900
Fax: (410) 549-6121
Website:
Map and Directions
Authorized official contact:
Name: Hickey, Thomas D. Doctor of Medicine (MD)
Phone: (410) 549-0900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1457311094
LBN Legal business name Liberty Pediatrics, Llc
DBA Doing business as
Authorized official Hickey, Thomas D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2006
Last updated Feb 25th, 2014 - about 10 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 1457311094 NPPES
Maryland MEDICAID 2977028

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