| Habakuk Inc | |
|
1315 Breton Dr Eldersburg MD 21784-6137 | |
| (443) 518-6574 | |
| (410) 552-8289 |
| Full Name | Habakuk Inc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1315 Breton Dr, Eldersburg, Maryland |
| Authorized Official Name and Position | Olayinka Olasimbo (PRESIDENT) |
| Authorized Official Contact | 4435186574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Habakuk Inc 1315 Breton Dr Eldersburg MD 21784-6137 Ph: (443) 518-6574 | Habakuk Inc 1315 Breton Dr Eldersburg MD 21784-6137 Ph: (443) 518-6574 |
| NPI Number | 1003156894 |
|---|---|
| Provider Enumeration Date | 02/15/2013 |
| Last Update Date | 02/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003156894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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