Personal Physician Care, Llc

LBN: Personal Physician Care, Llc
Personal Physician Care, Llc is an health care organization with primary practice located at 6334 Cedar Ln Ste 103 , Columbia MD 21044-3898. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Personal Physician Care, Llc can be contacted via phone (410) 531-2355, or through Lazris, Andy via phone (443) 386-3381.

Contact Information

Primary practice address
6334 Cedar Ln Ste 103 Columbia MD 21044-3898
Phone: (410) 531-2355
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lazris, Andy Doctor of Medicine (MD)
Phone: (443) 386-3381

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D47447 Maryland

Profile Details

NPI number 1326274853
LBN Legal business name Personal Physician Care, Llc
DBA Doing business as
Authorized official Lazris, Andy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2009
Last updated Oct 13th, 2009 - 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 1326274853 NPPES
Other 04-03155 EVERCARE
MEDICAID 380651100 EVERCARE
Other DPC6AL EVERCARE
MEDICAID 008203100 EVERCARE
Other KG01ER 53498303 EVERCARE

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