| A3 Healthcare Llc | |
|
1203 Maritime Cir Essex MD 21221-6099 | |
| (443) 600-4202 | |
| Not Available |
| Full Name | A3 Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1203 Maritime Cir, Essex, Maryland |
| Authorized Official Name and Position | Godsgift E Nya (PRESIDENT) |
| Authorized Official Contact | 4436004202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A3 Healthcare Llc 1203 Maritime Cir Essex MD 21221-6099 Ph: (443) 600-4202 | A3 Healthcare Llc 1203 Maritime Cir Essex MD 21221-6099 Ph: (443) 600-4202 |
| NPI Number | 1902564552 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Medicare PECOS PAC ID | 0244616290 |
|---|---|
| Medicare Enrollment ID | O20220929000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902564552 | NPI | - | NPPES |
| Provider Name | Godsgift Enebong Nya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700460649 PECOS PAC ID: 1153707104 Enrollment ID: I20220929000330 |
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