Protelix Health Clinic Llc
LBN: Protelix Health Clinic Llc
Protelix Health Clinic Llc is an health care organization with primary practice located at 22 W Padonia Rd Ste C133 , Lutherville Timonium MD 21093-2238. The organization recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Protelix Health Clinic Llc can be contacted via phone (410) 575-4494, or through Paine, Thelma via phone (410) 575-4494.
Contact Information
Primary practice address
22 W Padonia Rd Ste C133
Lutherville Timonium MD 21093-2238
Phone: (410) 575-4494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1790378586 |
|---|---|
| LBN Legal business name | Protelix Health Clinic Llc |
| DBA Doing business as | |
| Authorized official | Paine, Thelma APRN, FNP-C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 12th, 2021 |
| Last updated | May 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790378586 | NPPES |
| Ohio | MEDICAID | 1558629246 |
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