Provider Demographics
NPI:1891504619
Name:ACCESS MEDICAL CARE LLC
Entity type:Organization
Organization Name:ACCESS MEDICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ENOKPA
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP, PHD
Authorized Official - Phone:443-880-6914
Mailing Address - Street 1:6315 BARROW HOUSE DR
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-5686
Mailing Address - Country:US
Mailing Address - Phone:443-880-6914
Mailing Address - Fax:
Practice Address - Street 1:6315 BARROW HOUSE DR
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-5686
Practice Address - Country:US
Practice Address - Phone:443-880-6914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty