Wellness Legacy Llc
LBN: Wellness Legacy Llc
Wellness Legacy Llc is an health care organization with primary practice located at 260 Gateway Dr Ste 13 , Bel Air MD 21014-4268. The organization recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty.
Wellness Legacy Llc can be contacted via phone (410) 286-1258, or through Ison, Mark via phone (410) 286-1258.
Contact Information
Primary practice address
260 Gateway Dr Ste 13
Bel Air MD 21014-4268
Phone: (410) 286-1258
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
NPI number | 1134777576 |
---|---|
LBN Legal business name | Wellness Legacy Llc |
DBA Doing business as | Wellness Legacy Llc |
Authorized official | Ison, Mark CRNP |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 28th, 2019 |
Last updated | Mar 27th, 2024 - about 9 months 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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