MEDICARE: MEDICAL PRACTICE SOLUTIONS, LLC

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	171W00000X	Contractor

General Provider Information

NPI Number	:	1497062178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL PRACTICE SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	8909 OLD BRANCH AVE
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-2528
Country	:	US
Telephone Number	:	202-239-5888
Fax Number	:	202-403-0508

Provider Business Practice Location Address
First Line	:	8909 OLD BRANCH AVE
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-2528
Country	:	US
Telephone Number	:	202-239-5888
Fax Number	:	202-403-0508

Authorized Official
Title or Position	:	OWNER
Name	:	MARYANN MILLER
Credential	:
Telephone Number	:	202-239-5888

Provider Enumeration Date	:	09/02/2010
Last Update Date	:	05/12/2014

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