Lifestream Health Center in Bowie - Specialist
Lifestream Health Center - NPI 1881728996
Lifestream Health Center is a Specialist in Bowie, Maryland. Lifestream Health Center practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lifestream Health Center is 1881728996. The last update date is 2016-03-14.
Lifestream Health Center's current location address is 4000 Mitchellville Rd, Bowie, Maryland. You can contact this provider via phone number 3018600305 and fax number 3018600307. The mailing address for Lifestream Health Center is 4000 Mitchellville Rd, Bowie, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifestream Health Center |
|---|---|
| Address | 4000 Mitchellville Rd, Bowie, Maryland |
| Phone Number | 3018600305 |
| Fax Number | 3018600307 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Merritt Ann Sarah |
| Credentials | M.D. |
| Telephone Number | 3018600305 |
NPI Number Detail
| NPI Number | 1881728996 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2016-03-14 |
Provider Mailing Address Detail
| Address | 4000 Mitchellville Rd |
|---|---|
| City | Bowie |
| State | Maryland (MD) |
| Post Code | 20716 |
| Phone Number | 3018600305 |
| Fax Number | 3018600307 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | D0029051 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Lifestream Health Center's unique identification number?
The Lifestream Health Center has been assigned the NPI (National Provider Identifier) Number 1881728996 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Lifestream Health Center is located?
The Lifestream Health Center is situated at the following address: 4000 Mitchellville Rd, Bowie, MD, 20716.
What is Lifestream Health Center's area of expertise and its corresponding taxonomy classification?
The Lifestream Health Center's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When was the Lifestream Health Center's 1881728996 issued?
The Lifestream Health Center's 1881728996 was issued on 2007-03-14.
As of what date were the Lifestream Health Center's details last updated?
The information pertaining to the Lifestream Health Center, including its address, specialty, and other details, was most recently updated on 2016-03-14.