ALT. MEDICINE INC. NPI 1548582877

NPI Information

NPI: 1548582877
Provider Name: ALT. MEDICINE INC.
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
3201 CORPORATE CT FL 1
ELLICOTT CITY, MD
ZIP 21042
Phone: (410) 203-1597
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ALT. MEDICINE INC. is a pain clinic center in Ellicott City, MD. ALT. MEDICINE INC. NPI is 1548582877. The provider is registered as an organization entity type.

The provider's business location address is:

3201 CORPORATE CT FL 1
ELLICOTT CITY, MD
ZIP 21042-247
Phone: (410) 203-1597

The provider's authorized official is Jung Sop Kim .
The authorized official title is President and has the following contact phone number (410) 203-1597.

The enumeration date for this NPI number is 3/1/2010 and was last updated on 3/1/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain	U01789	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	1255662896	MEDICARE PIN	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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