Medical Legacy Llc

LBN: Medical Legacy Llc
Medical Legacy Llc is an health care organization with primary practice located at 5310 Old Court Rd Suite 305, Randallstown MD 21133-5243. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Medical Legacy Llc can be contacted via phone (410) 655-7100, or through Okunoren, Olutoyin A via phone (410) 655-7100.

Contact Information

Primary practice address
5310 Old Court Rd Suite 305 Randallstown MD 21133-5243
Phone: (410) 655-7100
Fax: (410) 655-7917
Website:
Map and Directions
Authorized official contact:
Name: Okunoren, Olutoyin A Registered Dietitian (RD)
Phone: (410) 655-7100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X D0023724 Maryland

Profile Details

NPI number 1114189453
LBN Legal business name Medical Legacy Llc
DBA Doing business as
Authorized official Okunoren, Olutoyin A Registered Dietitian (RD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2008
Last updated Jun 27th, 2008 - about 16 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 1114189453 NPPES
Maryland MEDICAID 255951000

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