Healthcare Provider Details

I. General information

NPI: 1073938965
Provider Name (Legal Business Name): MS-HC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2014
Last Update Date: 08/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8555 16TH ST SUITE 602
SILVER SPRING MD
20910-2816
US

IV. Provider business mailing address

9601 PULASKI PARK DR SUITE 416
BALTIMORE MD
21220-1409
US

V. Phone/Fax

Practice location:
  • Phone: 240-863-3526
  • Fax: 240-863-3680
Mailing address:
  • Phone: 410-933-5678
  • Fax: 410-933-1823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: DR. LAWRENCE M YALICH
Title or Position: PRESIDENT
Credential: D.C.
Phone: 410-238-0140