Premier Pediatrics, Llc

LBN: Premier Pediatrics, Llc
Premier Pediatrics, Llc is an health care organization with primary practice located at 7310 Ritchie Hwy Suite 516, Glen Burnie MD 21061. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Premier Pediatrics, Llc can be contacted via phone (410) 761-7305, or through West, Shannon Lane via phone (410) 761-7305.

Contact Information

Primary practice address
7310 Ritchie Hwy Suite 516 Glen Burnie MD 21061
Phone: (410) 761-7305
Fax: (410) 761-7387
Website:
Map and Directions
Authorized official contact:
Name: West, Shannon Lane Doctor of Medicine (MD)
Phone: (410) 761-7305

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0057446 Maryland

Profile Details

NPI number 1124449491
LBN Legal business name Premier Pediatrics, Llc
DBA Doing business as
Authorized official West, Shannon Lane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2014
Last updated Jan 3rd, 2014 - about 11 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 1124449491 NPPES
Maryland MEDICAID 776200300

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