Md Matt Llc
LBN: Md Matt Llc
Md Matt Llc is an health care organization with primary practice located at 10220 S Dolfield Rd Ste 106 , Owings Mills MD 21117-3660. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
Md Matt Llc can be contacted via phone (443) 559-4137, or through Shaffer, William Cory via phone (443) 559-4137.
Contact Information
Primary practice address
10220 S Dolfield Rd Ste 106
Owings Mills MD 21117-3660
Phone: (443) 559-4137
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1669941175 |
|---|---|
| LBN Legal business name | Md Matt Llc |
| DBA Doing business as | |
| Authorized official | Shaffer, William Cory |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2018 |
| Last updated | Jun 24th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669941175 | NPPES |
| Maryland | MEDICAID | 181014600 |
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