Annapolis Center For Integrative Medicine

LBN: Luminis Health Medical Group, Llc
Annapolis Center For Integrative Medicine is an health care organization with primary practice located at 2009 Tidewater Colony Suite 2A, Annapolis MD 21401. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Luminis Health Medical Group, Llc can be contacted via phone (410) 224-0010, or through Clarke, Stephen via phone (443) 481-1000.

Contact Information

Primary practice address
2009 Tidewater Colony Suite 2A Annapolis MD 21401
Fax: (410) 224-0012
Website:
Authorized official contact:
Name: Clarke, Stephen

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0018529 Maryland

Profile Details

NPI number 1588682389
LBN Legal business name Luminis Health Medical Group, Llc
DBA Doing business as Annapolis Center For Integrative Medicine
Authorized official Clarke, Stephen
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 18th, 2006
Last updated May 24th, 2021 - about 4 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 1588682389 NPPES
Maryland Other 953BAN BCBS
Maryland Other K640 BCBS
Maryland MEDICAID 407175109 BCBS

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