Healthcare Provider Details

I. General information

NPI: 1508438110
Provider Name (Legal Business Name): CHOICES INTEGRATED HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2021
Last Update Date: 07/13/2021
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 BUSH ST
BALTIMORE MD
21230-2021
US

IV. Provider business mailing address

1600 BUSH ST
BALTIMORE MD
21230-2021
US

V. Phone/Fax

Practice location:
  • Phone: 410-304-6670
  • Fax:
Mailing address:
  • Phone: 410-304-6670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FAHEEM NORFLEET
Title or Position: PRESIDENT
Credential:
Phone: 443-784-2700