| Sheppard Pratt | |
|
288 E Green St Bldg Ab Westminster MD 21157-5410 | |
| (410) 876-3007 | |
| (410) 751-7797 |
| Full Name | Sheppard Pratt |
|---|---|
| Speciality | Clinic/center - Rehabilitation |
| Location | 288 E Green St Bldg Ab, Westminster, Maryland |
| Authorized Official Name and Position | Sue Kessler (DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 4103828111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheppard Pratt Po Box 45709 Baltimore MD 21297-5709 Ph: () - | Sheppard Pratt 288 E Green St Bldg Ab Westminster MD 21157-5410 Ph: (410) 876-3007 |
| NPI Number | 1003076258 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003076258 | NPI | - | NPPES |
| 371331802 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
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