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Contact Information

HOLISTIC HEALTH & WELLNESS MEDICAL SPA
1450 MERCANTILE LN
221
LARGO, MD20774-5376
 Phone: 301-772-1500
 Fax: 301-773-0050
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Massage Therapist

225700000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HOLISTIC HEALTH & WELLNESS MEDICAL SPA

NPI Number 1497287361
LBN Legal business name HOLISTIC HEALTH & WELLNESS MEDICAL SPA
Authorized official JOYCE EDWARDS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2017
Last updated 03/30/2017 - About 9 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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