Md Matt Llc

LBN: Md Matt Llc
Md Matt Llc is an health care organization with primary practice located at 518 S Camp Meade Rd Ste 5 , Linthicum Heights MD 21090-2766. 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. Md Matt Llc can be contacted via phone (410) 364-8011, or through Shaffer, William via phone (443) 559-4137.

Contact Information

Primary practice address
518 S Camp Meade Rd Ste 5 Linthicum Heights MD 21090-2766
Phone: (410) 364-8011
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shaffer, William
Phone: (443) 559-4137

Health care specialties

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

Profile Details

NPI number 1578182614
LBN Legal business name Md Matt Llc
DBA Doing business as
Authorized official Shaffer, William
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2020
Last updated Jul 16th, 2024 - about 2 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 1578182614 NPPES
Maryland MEDICAID 181014602

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