Provider Demographics
NPI:1427281492
Name:HYPERHEAL HYPERBARICS L.L.C
Entity type:Organization
Organization Name:HYPERHEAL HYPERBARICS L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:CHT, DMT, EMT
Authorized Official - Phone:443-802-3278
Mailing Address - Street 1:5300 HYDES RD # 38
Mailing Address - Street 2:
Mailing Address - City:HYDES
Mailing Address - State:MD
Mailing Address - Zip Code:21082-9710
Mailing Address - Country:US
Mailing Address - Phone:443-802-3278
Mailing Address - Fax:
Practice Address - Street 1:5300 HYDES RD # 38
Practice Address - Street 2:
Practice Address - City:HYDES
Practice Address - State:MD
Practice Address - Zip Code:21082-9710
Practice Address - Country:US
Practice Address - Phone:443-802-3278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center