Stevenson Podiatry Llc

LBN: Stevenson Podiatry Llc
Stevenson Podiatry Llc is an health care organization with primary practice located at 4000 Annapolis Rd Rear 105 , Halethorpe MD 21227-3611. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Stevenson Podiatry Llc can be contacted via phone (410) 355-3519, or through Stevenson, Claymon A. via phone (410) 440-7387.

Contact Information

Primary practice address
4000 Annapolis Rd Rear 105 Halethorpe MD 21227-3611
Phone: (410) 355-3519
Fax: (410) 355-4643
Website:
Map and Directions
Authorized official contact:
Name: Stevenson, Claymon A. Doctor of Podiatric Medicine (DPM)
Phone: (410) 440-7387

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1255895512
LBN Legal business name Stevenson Podiatry Llc
DBA Doing business as
Authorized official Stevenson, Claymon A. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2019
Last updated Jan 30th, 2019 - about 5 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 1255895512 NPPES
Maryland MEDICAID 1811996739

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