WALLACE BRUCE OBENSHAIN CECILTON FAMILY PRACTICE – NPI #1134261217
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

WALLACE BRUCE OBENSHAIN CECILTON FAMILY PRACTICE is a provider located in CECILTON, MD. NPPES has assigned the NPI number 1134261217 to WALLACE BRUCE OBENSHAIN CECILTON FAMILY PRACTICE on February 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Jun 12, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WALLACE BRUCE OBENSHAIN CECILTON FAMILY PRACTICE below.

NPI Profile for
WALLACE BRUCE OBENSHAIN CECILTON FAMILY PRACTICE

NPI Number
1134261217
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WALLACE BRUCE OBENSHAIN CECILTON FAMILY PRACTICE
Primary location
251 BOHEMIA AVE
CECILTON, MD 21913
Phone: (410) 275-8157 Fax:
Mailing address
PO BOX 190
ELKTON, MD 21922-0190
Phone: (410) 398-4679 Fax:
Organization Subpart
No
Authorized Official
LISA FIELDS
CREDENTIALING COORDINATOR
Phone: (410) 398-4679
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MD D0035779

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.