Marcellus R. Cephas Md Llc

LBN: Marcellus R. Cephas Md Llc
Marcellus R. Cephas Md Llc is an health care organization with primary practice located at 1405 Madison Park Dr Suite 1B, Glen Burnie MD 21061-5627. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Prescribing (Medical), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Prescribing (Medical) is the primary health care specialty. Marcellus R. Cephas Md Llc can be contacted via phone (410) 487-6302, or through Cephas, Marcellus Ryan via phone (410) 487-6302.

Contact Information

Primary practice address
1405 Madison Park Dr Suite 1B Glen Burnie MD 21061-5627
Phone: (410) 487-6302
Fax: (301) 891-2080
Website:
Map and Directions
Authorized official contact:
Name: Cephas, Marcellus Ryan Doctor of Medicine (MD)
Phone: (410) 487-6302

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC3762 Maryland
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X D0059532 Maryland
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X R193679 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13814 Maryland

Profile Details

NPI number 1821479635
LBN Legal business name Marcellus R. Cephas Md Llc
DBA Doing business as
Authorized official Cephas, Marcellus Ryan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2015
Last updated Jun 17th, 2015 - 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 1821479635 NPPES
Maryland Other G01202 P/10

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