M Justine Clark, Do, Llc

LBN: M Justine Clark, Do, Llc
M Justine Clark, Do, Llc is an health care organization with primary practice located at 600 Ridgely Ave Suite 214, Annapolis MD 21401. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. M Justine Clark, Do, Llc can be contacted via phone (410) 573-2292, or through Clark, M Justine via phone (410) 573-2292.

Contact Information

Primary practice address
600 Ridgely Ave Suite 214 Annapolis MD 21401
Phone: (410) 573-2292
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, M Justine Doctor of Osteopathy (DO)
Phone: (410) 573-2292

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H41992 Maryland

Profile Details

NPI number 1700953007
LBN Legal business name M Justine Clark, Do, Llc
DBA Doing business as
Authorized official Clark, M Justine Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 22nd, 2020 - 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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