Trauma Clinicians, Llc | |
22 N Mulberry St Ste 120 Hagerstown MD 21740-4870 | |
(410) 624-6452 | |
Not Available |
Full Name | Trauma Clinicians, Llc |
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Speciality | Social Worker |
Location | 22 N Mulberry St Ste 120, Hagerstown, Maryland |
Authorized Official Name and Position | Danielle Lynn Hudak (OWNER) |
Authorized Official Contact | 4106246452 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trauma Clinicians, Llc 22 N Mulberry St Ste 120 Hagerstown MD 21740-4870 Ph: () - | Trauma Clinicians, Llc 22 N Mulberry St Ste 120 Hagerstown MD 21740-4870 Ph: (410) 624-6452 |
NPI Number | 1780218735 |
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Provider Enumeration Date | 02/28/2020 |
Last Update Date | 02/28/2020 |
Certification Date | 02/28/2020 |
Medicare PECOS PAC ID | 9638598808 |
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Medicare Enrollment ID | O20201008000019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780218735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Danielle Lynn Hudak |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770089252 PECOS PAC ID: 4789937947 Enrollment ID: I20181106000138 |
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