| Breakthrough Integrative Care LLC | |
|
9712 Belair Rd Ste 301 Nottingham MD 21236-1113 | |
| (443) 903-4874 | |
| (667) 868-0931 |
| Full Name | Breakthrough Integrative Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 9712 Belair Rd Ste 301, Nottingham, Maryland |
| Authorized Official Name and Position | Brian Dynell West-pearson (NURSE PRACTITIONER) |
| Authorized Official Contact | 4439021364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Integrative Care LLC 9712 Belair Rd Ste 301 Nottingham MD 21236-1113 Ph: (443) 903-4874 | Breakthrough Integrative Care LLC 9712 Belair Rd Ste 301 Nottingham MD 21236-1113 Ph: (443) 903-4874 |
| NPI Number | 1376226969 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 11/02/2024 |
| Certification Date | 11/02/2024 |
| Medicare PECOS PAC ID | 5294261764 |
|---|---|
| Medicare Enrollment ID | O20241206001878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376226969 | NPI | - | NPPES |
| Provider Name | Brian Dynell West-pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497268874 PECOS PAC ID: 2365708807 Enrollment ID: I20180406000622 |
Jeffrey C. Schultz, M.D. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8817 Belair Rd, Suite 111, Nottingham, MD 21236 Phone: 410-529-6440 Fax: 410-529-6793 |
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