Sebastian A Patellis, DC | |
2850 N Ridge Rd Ste 107, Ellicott City, MD 21043-3396 | |
(410) 376-8807 | |
Not Available |
Full Name | Sebastian A Patellis |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 2850 N Ridge Rd Ste 107, Ellicott City, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821796327 | NPI | - | NPPES |
S04171 | Other | MD | MARYLAND BOARD OF CHIROPRACTIC EXAMINERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | S04171 (Maryland) | Primary |
Provider Name | Morrison Chiropractic,p.a. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538219571 PECOS PAC ID: 2163593773 Enrollment ID: O20080625000081 |
Provider Name | Privia Medical Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Mailing Address | Practice Location Address |
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Sebastian A Patellis, DC 2850 N Ridge Rd Ste 107, Ellicott City, MD 21043-3396 Ph: (410) 376-8807 | Sebastian A Patellis, DC 2850 N Ridge Rd Ste 107, Ellicott City, MD 21043-3396 Ph: (410) 376-8807 |
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