Avallone, John Michael
Avallone, John Michael is an individual health care provider with primary practice located at 83 Church Rd , Arnold MD 21012-2306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Avallone, John Michael can be contacted via phone (410) 757-2778.Contact Information
Primary practice address
83 Church Rd
Arnold MD 21012-2306
Phone: (410) 757-2778
Fax: (410) 757-0632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D36805 | Maryland |
Profile Details
| NPI number | 1205846102 |
|---|---|
| LBN Legal business name | Avallone, John Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Aug 6th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205846102 | NPPES |
| Maryland | MEDICAID | 406116100 | |
| Maryland | Other | 7869439 | |
| Maryland | Other | 1554500 | |
| Maryland | Other | 0001 | |
| Maryland | Other | 61759202 |
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