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CAPRICORN HEALTH LLC NPI 1083205959


NPI Information

NPI: 1083205959
Provider Name: CAPRICORN HEALTH LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 21D2213143

Address:
404 EASTERN BLVD
ESSEX, MD
ZIP 21221
Phone: (443) 505-8440
Get Directions

CAPRICORN HEALTH LLC is an addiction medicine family medicine in Essex, MD. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. CAPRICORN HEALTH LLC NPI is 1083205959. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

404 EASTERN BLVD
ESSEX, MD
ZIP 21221-714
Phone: (443) 505-8440

The provider's authorized official is Christopher Gelmann .
The authorized official title is Managing Member and has the following contact phone number (443) 553-0057.

The CLIA number assigned to this NPI record is 21D2213143 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/2/2021 and was last updated on 2/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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