QUICK CARE CLINIC USA. LLC NPI 1245858240

NPI Information

NPI: 1245858240
Provider Name: QUICK CARE CLINIC USA. LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 21D2200988

Address:
1807 PENNSYLVANIA AVE
BALTIMORE, MD
ZIP 21217
Phone: (301) 536-0044
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QUICK CARE CLINIC USA. LLC is a primary care nurse practitioner in Baltimore, MD. QUICK CARE CLINIC USA. LLC NPI is 1245858240. The provider is registered as an organization entity type.

The provider's business location address is:

1807 PENNSYLVANIA AVE
BALTIMORE, MD
ZIP 21217-214
Phone: (301) 536-0044

The provider's authorized official is Colman O Ejerenwa .
The authorized official title is Ceo and has the following contact phone number (301) 536-0044.

The CLIA number assigned to this NPI record is 21D2200988 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2020 and was last updated on 7/7/2020.

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
1	261QU0200X	Clinic/Center	Urgent Care			No
2	363LP2300X	Nurse Practitioner	Primary Care			Yes

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

NPI Synchronization or Removal

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