| Scepter Health | |
|
1611 Durham Way Hanover MD 21076 | |
| (410) 499-6686 | |
| Not Available |
| Full Name | Scepter Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1611 Durham Way, Hanover, Maryland |
| Authorized Official Name and Position | Kehinde Laniyi (PRESIDENT) |
| Authorized Official Contact | 4104996686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scepter Health 7661 Arundel Mills Blvd # 1017 Hanover MD 21076-1305 Ph: (410) 499-6686 | Scepter Health 1611 Durham Way Hanover MD 21076 Ph: (410) 499-6686 |
| NPI Number | 1902582505 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/14/2023 |
| Medicare PECOS PAC ID | 5597124495 |
|---|---|
| Medicare Enrollment ID | O20230711000961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902582505 | NPI | - | NPPES |
| Provider Name | Kehinde Laniyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720553662 PECOS PAC ID: 0648505313 Enrollment ID: I20190717002808 |
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