Davidsonville Pediatrics

LBN: Davidsonville Pediatrics
Davidsonville Pediatrics is an health care organization with primary practice located at 2772 Rutland Rd , Davidsonville MD 21035-1228. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Davidsonville Pediatrics can be contacted via phone (410) 269-7828, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
2772 Rutland Rd Davidsonville MD 21035-1228
Phone: (410) 269-7828
Fax: (410) 269-0510
Website:
Map and Directions
Authorized official contact:
Name: Shackelford, Direndia
Phone: (800) 654-0889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X D0013889 Maryland

Profile Details

NPI number 1679657209
LBN Legal business name Davidsonville Pediatrics
DBA Doing business as Davidsonville Pediatrics
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 22nd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679657209 NPPES
Other 2124410 OTHER ID NUMBER-COMMERCIAL NUMBER

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