Renaissance Primary Care And Wellness Group Llc
LBN: Renaissance Primary Care And Wellness Group Llc
Renaissance Primary Care And Wellness Group Llc is an health care organization with primary practice located at 5500 Knoll North Dr Suite 250, Columbia MD 21045-2209. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Renaissance Primary Care And Wellness Group Llc can be contacted via phone (410) 772-8001, or through Greenwood, Lindiwe F via phone (410) 772-8001.
Contact Information
Primary practice address
5500 Knoll North Dr Suite 250
Columbia MD 21045-2209
Phone: (410) 772-8001
Fax: (410) 772-8004
Website:
Authorized official contact:
Name: Greenwood, Lindiwe F Doctor of Medicine (MD)
Phone: (410) 772-8001
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0060109 | Maryland |
Profile Details
| NPI number | 1609097112 |
|---|---|
| LBN Legal business name | Renaissance Primary Care And Wellness Group Llc |
| DBA Doing business as | |
| Authorized official | Greenwood, Lindiwe F Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | May 13th, 2008 - about 18 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 | 1609097112 | NPPES |
| Maryland | MEDICAID | 405788100 | |
| Maryland | Other | 75XBLF | |
| Maryland | Other | 33760001 |
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