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Contact Information

A CLEAN START LLC
3 GREENWOOD PL STE 108
PIKESVILLE, MD21208-2701
 Phone: 410-205-7698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for A CLEAN START LLC · (Female)

NPI Number 1821707944
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2022
Last updated 12/01/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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