Matclinic Physicians Practice Group Llc

LBN: Matclinic Physicians Practice Group Llc
Matclinic Physicians Practice Group Llc is an health care organization with primary practice located at 253 Lewis Ln Ste 201 , Havre De Grace MD 21078-3756. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Matclinic Physicians Practice Group Llc can be contacted via phone (410) 220-0720, or through Reck, Dan via phone (410) 220-0720.

Contact Information

Primary practice address
253 Lewis Ln Ste 201 Havre De Grace MD 21078-3756
Fax: (410) 862-0150
Website:
Authorized official contact:
Name: Reck, Dan

Profile Details

NPI number 1023607991
LBN Legal business name Matclinic Physicians Practice Group Llc
DBA Doing business as
Authorized official Reck, Dan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2021
Last updated May 11th, 2022 - about 2 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 1023607991 NPPES
Maryland MEDICAID 766335800

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