Organization · NPI-2

1st Step Medical & 1st Step Greenmed, LLC

Clinic/Center · Glen Burnie, MD

NPI number1003553272
StatusActive
Last updated in NPPESMay 19, 2022

Details

NPI
1003553272
Entity type
Organization (NPI-2)
Legal business name
1st Step Medical & 1st Step Greenmed, LLC
Organization subpart
No
Enumeration date
May 18, 2022
Certification date
May 19, 2022
Last updated
May 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

420 Crain Hwy S Ste 2
Glen Burnie, MD 21061-3657

Phone 410-582-8170 · Fax 866-401-0775

Mailing address

Po Box 1538
Glen Burnie, MD 21060-1538

Phone 410-582-8170 · Fax 866-401-0775

Authorized official

Tessa L Jones
Owner
4105828170

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