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Contact Information

ST PAUL PLACE SPECIALISTS, INC.
301 SAINT PAUL PL
#402 - NEUROLOGY
BALTIMORE, MD21202-2102
 Phone: 410-347-1891
 Fax: 410-347-1893
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for ST PAUL PLACE SPECIALISTS, INC.

NPI Number 1154362473
LBN Legal business name ST PAUL PLACE SPECIALISTS, INC.
Authorized official JUSTIN DEIBEL - (EXECUTIVE VICE PRESIDENT & CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2006
Last updated 12/18/2024 - More than a year ago
Identifiers
MD License # D0022874
MD License # D0064021
MD Other LK36 BC / BS OF MD
MD Other S186 BLUECHOICE
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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