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Contact Information

EASTERN SHORE BROKERS, LLC
12641 BLUEBERRY RD
WHALEYVILLE, MD21872-2013
 Phone: 410-726-2967
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for EASTERN SHORE BROKERS, LLC

NPI Number 1669988515
LBN Legal business name EASTERN SHORE BROKERS, LLC
Authorized official CYNTHIA TRUITT - (OWNER/CASE MANAGEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2017
Last updated 12/14/2017 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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