Medical Practices Of Antietam Llc

LBN: Medical Practices Of Antietam Llc
Medical Practices Of Antietam Llc is an health care organization with primary practice located at 17301 Valley Mall Rd Ste 125 , Hagerstown MD 21740-6966. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Medical Practices Of Antietam Llc can be contacted via phone (301) 790-9237, or through Repac, Joshua via phone (301) 790-9351.

Contact Information

Primary practice address
17301 Valley Mall Rd Ste 125 Hagerstown MD 21740-6966
Phone: (301) 790-9237
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Repac, Joshua
Phone: (301) 790-9351

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X

Profile Details

NPI number 1265275341
LBN Legal business name Medical Practices Of Antietam Llc
DBA Doing business as
Authorized official Repac, Joshua
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2024
Last updated Jun 17th, 2024 - about last year

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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