Baltimore Ketamine Clinic Eastern Shore

LBN: Baltimore Ketamine Clinic Eastern Shore
Baltimore Ketamine Clinic Eastern Shore is an health care organization with primary practice located at 2324 N Zion Rd Ste 113 , Salisbury MD 21801-2576. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Baltimore Ketamine Clinic Eastern Shore can be contacted via phone (410) 870-5482, or through Mitic, Ivana via phone (713) 412-3462.

Contact Information

Primary practice address
2324 N Zion Rd Ste 113 Salisbury MD 21801-2576
Phone: (410) 870-5482
Fax: (410) 628-1212
Website:
Map and Directions
Authorized official contact:
Name: Mitic, Ivana CRNP-PMH, CRNA
Phone: (713) 412-3462

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1366171720
LBN Legal business name Baltimore Ketamine Clinic Eastern Shore
DBA Doing business as
Authorized official Mitic, Ivana CRNP-PMH, CRNA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2022
Last updated Feb 17th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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