Pace & Leatherwood, Pc
LBN: Pace & Leatherwood, Pc
Pace & Leatherwood, Pc is an health care organization with primary practice located at 12070 Old Line Ctr Suite 302, Waldorf MD 20602-2513. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Pace & Leatherwood, Pc can be contacted via phone (301) 645-6667, or through Breitenbach, Tammy M via phone (301) 645-6667.
Contact Information
Primary practice address
12070 Old Line Ctr Suite 302
Waldorf MD 20602-2513
Phone: (301) 645-6667
Fax: (301) 870-9722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1912975277 |
|---|---|
| LBN Legal business name | Pace & Leatherwood, Pc |
| DBA Doing business as | |
| Authorized official | Breitenbach, Tammy M CMM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Apr 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912975277 | NPPES |
| Maryland | MEDICAID | 371231100 |
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