Sticks R Us Llc | |
1515 Martin Blvd Ste 108 Middle River MD 21220-4103 | |
(800) 354-8935 | |
(443) 231-6767 |
Full Name | Sticks R Us Llc |
---|---|
Speciality | Clinic/Center |
Location | 1515 Martin Blvd Ste 108, Middle River, Maryland |
Authorized Official Name and Position | Vanessa Sabastro (OWNER) |
Authorized Official Contact | 8003548935 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sticks R Us Llc 1515 Martin Blvd Ste 108 Middle River MD 21220-4103 Ph: (800) 354-8935 | Sticks R Us Llc 1515 Martin Blvd Ste 108 Middle River MD 21220-4103 Ph: (800) 354-8935 |
NPI Number | 1669130084 |
---|---|
Provider Enumeration Date | 12/02/2021 |
Last Update Date | 11/17/2022 |
Medicare PECOS PAC ID | 9830578228 |
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Medicare Enrollment ID | O20220615000438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669130084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
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