MEDICARE: P&A HEALTH SERVICES LIMITED LIABILITY COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251K00000X	Public Health or Welfare Agency	03595628	PA
3	251K00000X	Public Health or Welfare Agency
4	261QR0400X	Rehabilitation Clinic/Center
5	261QR1100X	Research Clinic/Center
6	302R00000X	Health Maintenance Organization
7	332900000X	Non-Pharmacy Dispensing Site
8	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NPS	OTHER		PHLEBOTOMY AND GENERAL SAMPLE COLLECTOR
2	AADP-240061104	OTHER		HOLISTIC HEALTH PRACTITIONER
3	LEHP-1069	OTHER		WELLNESS, LIFESTYLE AND HOLISTIC SERVICES
4	39110-1665410715	OTHER		CERTIFIED BEHAVIOR SPECIALIST
5	BCMMHC-817	OTHER	VA	MENTAL HEALTH COACH
6	03595628	OTHER	PA	AMERICAN COLLEGE OF PHYSICIAN
7	AANWP	OTHER		NAPRAPATHY AND OSTEOPATHIC MANUAL PRACTITIONER
8	22464034	OTHER	FL	IBCCES

General Provider Information

NPI Number	:	1003316407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P&A HEALTH SERVICES LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	404 S CAMP MEADE RD
Second Line	:
City	:	LINTHICUM
State	:	MD
Zip	:	21090-2744
Country	:	US
Telephone Number	:	410-841-8149
Fax Number	:

Provider Business Practice Location Address
First Line	:	404 S CAMP MEADE RD
Second Line	:
City	:	LINTHICUM
State	:	MD
Zip	:	21090-2744
Country	:	US
Telephone Number	:	410-841-8149
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/PRESIDENT
Name	:	DR. PATRICIA C ONUOHA EJIOGU
Credential	:	DO,ND,PRM,PHDS-LEHP
Telephone Number	:	410-841-8149

Provider Enumeration Date	:	02/13/2018
Last Update Date	:	11/27/2024

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