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WELLAVE LLC NPI 1891159661


NPI Information

NPI: 1891159661
Provider Name: WELLAVE, LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 21D2299746

Address:
411 AVIATION WAY STE 245
FREDERICK, MD
ZIP 21701
Phone: (888) 820-3376
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WELLAVE, LLC is a medical specialty clinic center in Frederick, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). WELLAVE, LLC NPI is 1891159661. The provider is registered as an organization entity type.

The provider's business location address is:

411 AVIATION WAY STE 245
FREDERICK, MD
ZIP 21701
Phone: (888) 820-3376
Fax: (888) 826-4576

The provider's authorized official is Eileen Doane .
The authorized official title is President and has the following contact phone number (240) 994-0867.

The CLIA number assigned to this NPI record is 21D2299746 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/7/2016 and was last updated on 8/7/2018.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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

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