A CLEAN START LLC; NPI #1821707944

Contact Information

A CLEAN START LLC

3 GREENWOOD PL STE 108
PIKESVILLE, MD 21208-2701

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

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NPI Profile & details for A CLEAN START LLC

NPI Number	`1821707944`
LBN Legal business name	A CLEAN START LLC
Authorized official	ANIKKA STOKES - (CO-OWNER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	11/17/2022
Last updated	12/01/2022 - About 4 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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A CLEAN START LLC

Contact Information

Specialty

Family

General Practice

NPI Profile & details for A CLEAN START LLC

Reviews for A CLEAN START LLC