Proactive Primary Care
LBN: Proactive Pain And Neurology, Llc
Proactive Primary Care is an health care organization with primary practice located at 925 Bishop Walsh Rd , Cumberland MD 21502-1845. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty.
Proactive Pain And Neurology, Llc can be contacted via phone (240) 362-7025, or through Dey, Dennis Daniel via phone (240) 362-7025.
Contact Information
Primary practice address
925 Bishop Walsh Rd
Cumberland MD 21502-1845
Phone: (240) 362-7025
Fax: (240) 362-7064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X |
Profile Details
| NPI number | 1669037008 |
|---|---|
| LBN Legal business name | Proactive Pain And Neurology, Llc |
| DBA Doing business as | Proactive Primary Care |
| Authorized official | Dey, Dennis Daniel Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 1st, 2019 |
| Last updated | Dec 11th, 2020 - about 4 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 | 1669037008 | NPPES |
| Maryland | MEDICAID | 392004600 | |
| Maryland | Other | DL77 | |
| Maryland | Other | 622188 |
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