Wellspring Clinic Llc
LBN: Wellspring Clinic Llc
Wellspring Clinic Llc is an health care organization with primary practice located at 2012 S Tollgate Rd Suite 206, Bel Air MD 21015-5900. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty.
Wellspring Clinic Llc can be contacted via phone (443) 371-9750, or through Arene, Nkiruka via phone (443) 371-9750.
Contact Information
Primary practice address
2012 S Tollgate Rd Suite 206
Bel Air MD 21015-5900
Phone: (443) 371-9750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D63924 | Maryland |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | D63924 | Maryland |
Profile Details
| NPI number | 1962958926 |
|---|---|
| LBN Legal business name | Wellspring Clinic Llc |
| DBA Doing business as | |
| Authorized official | Arene, Nkiruka Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2016 |
| Last updated | Jul 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962958926 | NPPES |
| Maryland | MEDICAID | 875800000 |
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