Old Fashion Medicine, Inc

LBN: Old Fashion Medicine, Inc
Old Fashion Medicine, Inc is an health care organization with primary practice located at 95 Gatepost Lane Apartment 1B, Frederick MD 21701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Old Fashion Medicine, Inc can be contacted via phone (240) 409-3348, or through Reilly, John Allen via phone (240) 409-3348.

Contact Information

Primary practice address
95 Gatepost Lane Apartment 1B Frederick MD 21701
Phone: (240) 409-3348
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reilly, John Allen Doctor of Medicine (MD)
Phone: (240) 409-3348

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X D0054749 Maryland

Profile Details

NPI number 1649775933
LBN Legal business name Old Fashion Medicine, Inc
DBA Doing business as
Authorized official Reilly, John Allen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2018
Last updated Jun 21st, 2018 - about 8 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 1649775933 NPPES
Maryland MEDICAID 2853027000

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