1063230019 NPI number — QUICK PHYS LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063230019 NPI number — QUICK PHYS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUICK PHYS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063230019
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/04/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8114 SANDPIPER CIR STE 207
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NOTTINGHAM
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21236-5902
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-854-1553
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8114 SANDPIPER CIR STE 207
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NOTTINGHAM
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21236-5902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-600-8178
Provider Business Practice Location Address Fax Number:
833-973-4725
Provider Enumeration Date:
09/30/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WALTON
Authorized Official First Name:
DONTA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
443-600-8178

Provider Taxonomy Codes

  • Taxonomy code: 363LA2100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LA2200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)