Et Family Practice, Inc.

LBN: Et Family Practice, Inc.
Et Family Practice, Inc. is an health care organization with primary practice located at 7231 Hanover Pkwy Ste A , Greenbelt MD 20770-2027. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Et Family Practice, Inc. can be contacted via phone (240) 386-9682, or through Tataw, Eta Stephen via phone (301) 982-7898.

Contact Information

Primary practice address
7231 Hanover Pkwy Ste A Greenbelt MD 20770-2027
Phone: (240) 386-9682
Fax: (301) 477-7352
Website:
Map and Directions
Authorized official contact:
Name: Tataw, Eta Stephen
Phone: (301) 982-7898

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R178223 Maryland

Profile Details

NPI number 1124364757
LBN Legal business name Et Family Practice, Inc.
DBA Doing business as
Authorized official Tataw, Eta Stephen
Entity Organization
Organization subpart 1 No
Enumeration date Jan 1st, 2013
Last updated Feb 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124364757 NPPES
Maryland MEDICAID 337807100
Maryland MEDICAID 424652700

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