Healthcare Provider Details

I. General information

NPI: 1225556061
Provider Name (Legal Business Name): NSC-B LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2017
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WEST RD SUITE 202
TOWSON MD
21204-2331
US

IV. Provider business mailing address

100 WEST ROAD SUITE 202
TOWSON MD
21204
US

V. Phone/Fax

Practice location:
  • Phone: 410-832-3377
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MICHELE BEACH
Title or Position: MANAGER
Credential:
Phone: 410-832-3377