Provider Demographics
NPI:1770096117
Name:PARAMOUNT HEALTH & WELLNESS LLC
Entity type:Organization
Organization Name:PARAMOUNT HEALTH & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:WOROBEY
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:443-223-2479
Mailing Address - Street 1:8041 BROOKSTONE CT
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-4409
Mailing Address - Country:US
Mailing Address - Phone:443-223-2479
Mailing Address - Fax:
Practice Address - Street 1:8041 BROOKSTONE CT
Practice Address - Street 2:
Practice Address - City:SEVERN
Practice Address - State:MD
Practice Address - Zip Code:21144-4409
Practice Address - Country:US
Practice Address - Phone:443-223-2479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR203622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty