Base Performance Llc is a
Dietitian, Registered based in Ijamsville, Maryland. Base Performance Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2903 Loch Haven Ct, Ijamsville, Maryland. It can be reached at their office (for appointments etc.) via phone at
(508) 333-8639.
NPI number for Base Performance Llc is 1760375067 and their current mailing address is 2903 Loch Haven Ct, Ijamsville, Maryland. Base Performance Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1760375067.
Healthcare Provider's Profile
| Full Name | Base Performance Llc |
|---|
| Type | Facility |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 2903 Loch Haven Ct, Ijamsville, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760375067
- Provider Enumeration Date: 06/03/2025
- Last Update Date: 06/03/2025
Medical Identifiers
Medical identifiers for Base Performance Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760375067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Base Performance Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Base Performance Llc 2903 Loch Haven Ct, Ijamsville, MD 21754-8813 Ph: (508) 333-8639 | Base Performance Llc 2903 Loch Haven Ct, Ijamsville, MD 21754-8813 Ph: (508) 333-8639 |
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