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PRIMARY HEALTH & WELLNESS CENTER LLC NPI 1225274061


NPI Information

NPI: 1225274061
Provider Name: PRIMARY HEALTH & WELLNESS CENTER LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 21D2006711

Address:
9055 CHEVROLET DR
SUITE 103
ELLICOTT CITY, MD
ZIP 21042
Phone: (410) 465-7850
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PRIMARY HEALTH & WELLNESS CENTER LLC is a specialist in Ellicott City, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PRIMARY HEALTH & WELLNESS CENTER LLC NPI is 1225274061. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9055 CHEVROLET DR
SUITE 103
ELLICOTT CITY, MD
ZIP 21042-016
Phone: (410) 465-7850
Fax: (410) 465-3716

The provider's authorized official is Mitul Dave .
The authorized official title is President and has the following contact phone number (410) 465-7850.

The CLIA number assigned to this NPI record is 21D2006711 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2008 and was last updated on 1/27/2010.


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
1174400000XSpecialistD0057313MARYLANDYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.