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USA REHAB NPI 1134105273


NPI Information

NPI: 1134105273
Provider Name: USA REHAB
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
104 CHURCH LN # 107
BALTIMORE, MD
ZIP 21208
Phone: (410) 653-3903
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USA REHAB is a non pharmacy dispensing site in Baltimore, MD. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) USA REHAB NPI is 1134105273. The provider is registered as an organization entity type.

The provider's business location address is:

104 CHURCH LN # 107
BALTIMORE, MD
ZIP 21208-786
Phone: (410) 653-3903

The provider's authorized official is Eric Anderson .
The authorized official title is Owner and has the following contact phone number (410) 653-3903.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 2/3/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1520022900MEDICAIDMARYLAND

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: 11/14/2023

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