Healthcare Provider Details
I. General information
NPI: 1114062502
Provider Name (Legal Business Name): AFTERHOURS WALK-IN MEDICAL CARE, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1750 CONOWINGO RD
COLORA MD
21917-1030
US
IV. Provider business mailing address
349 E PULASKI HWY STE B
ELKTON MD
21921-6415
US
V. Phone/Fax
- Phone: 410-398-2288
- Fax:
- Phone: 410-398-2288
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHAEL
LAWRENCE
SCHEINER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 410-398-2288