| Eikon Professional Services | |
|
9811 Mallard Dr Suite 219 Laurel MD 20708-3143 | |
| (301) 317-4702 | |
| (301) 497-9493 |
| Full Name | Eikon Professional Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9811 Mallard Dr, Laurel, Maryland |
| Authorized Official Name and Position | Sandra Jean Mcmillian (PRESIDENT) |
| Authorized Official Contact | 3013174702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eikon Professional Services 8238 Imperial Dr Laurel MD 20708-1832 Ph: (301) 317-8982 | Eikon Professional Services 9811 Mallard Dr Suite 219 Laurel MD 20708-3143 Ph: (301) 317-4702 |
| NPI Number | 1871540807 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871540807 | NPI | - | NPPES |
| 744BEI | Other | MD | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC1752 (Maryland) | Primary |
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