Shore Integrative Health

LBN: Shore Integrative Health
Shore Integrative Health is an health care organization with primary practice located at 508 Idlewild Ave Ste 5 , Easton MD 21601-3834. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Shore Integrative Health can be contacted via phone (443) 339-9713, or through Tallent, Kristin Marie via phone (412) 523-3402.

Contact Information

Primary practice address
508 Idlewild Ave Ste 5 Easton MD 21601-3834
Phone: (443) 339-9713
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tallent, Kristin Marie PHARMD
Phone: (412) 523-3402

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1144945221
LBN Legal business name Shore Integrative Health
DBA Doing business as
Authorized official Tallent, Kristin Marie PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2022
Last updated Oct 11th, 2022 - about 4 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 1144945221 NPPES
Maryland MEDICAID 10112022

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