Back 2 Basics Nutrition Llc is a
Pediatrics based in Frederick, Maryland. Back 2 Basics Nutrition Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
5216 Chairmans Ct Ste 104, Frederick, Maryland. It can be reached at their office (for appointments etc.) via phone at
(410) 598-4336.
NPI number for Back 2 Basics Nutrition Llc is 1922693423 and their current mailing address is 2028 Liberty Rd Ste 103, Eldersburg, Maryland. Back 2 Basics Nutrition Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1922693423.
Healthcare Provider's Profile
Full Name | Back 2 Basics Nutrition Llc |
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Type | Facility |
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Speciality | Pediatrics |
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Location | 5216 Chairmans Ct Ste 104, Frederick, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922693423
- Provider Enumeration Date: 03/05/2021
- Last Update Date: 07/24/2023
Medical Identifiers
Medical identifiers for Back 2 Basics Nutrition Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922693423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (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. Back 2 Basics Nutrition 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 |
Back 2 Basics Nutrition Llc 2028 Liberty Rd Ste 103, Eldersburg, MD 21784-5079 Ph: (410) 598-4336 | Back 2 Basics Nutrition Llc 5216 Chairmans Ct Ste 104, Frederick, MD 21703-2858 Ph: (410) 598-4336 |
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