QOL PAIN MANAGEMENT LLC. NPI 1295983997

NPI Information

NPI: 1295983997
Provider Name: QOL PAIN MANAGEMENT LLC.
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
3102 N HILTON ST
BALTIMORE, MD
ZIP 21216
Phone: (410) 578-0730
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QOL PAIN MANAGEMENT LLC. is a pain clinic center in Baltimore, MD. QOL PAIN MANAGEMENT LLC. NPI is 1295983997. The provider is registered as an organization entity type.

The provider's business location address is:

3102 N HILTON ST
BALTIMORE, MD
ZIP 21216-450
Phone: (410) 578-0730
Fax: (410) 578-0798

The provider's authorized official is Garry Sinclair Jennings .
The authorized official title is Anesthesiologist/pain Management and has the following contact phone number (410) 578-0730.

The enumeration date for this NPI number is 9/5/2008 and was last updated on 9/5/2008.

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	261QP3300X	Clinic/Center	Pain	D0042216	MARYLAND	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3833	MEDICARE PIN
2	345911000	MEDICAID	MARYLAND

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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