Baum, Irina Konstantinovna
Baum, Irina Konstantinovna is an individual health care provider with primary practice located at 3893 Fortress Ct , Hampstead MD 21074-1790. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Baum, Irina Konstantinovna can be contacted via phone (240) 593-2301.Contact Information
Primary practice address
3893 Fortress Ct
Hampstead MD 21074-1790
Phone: (240) 593-2301
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | R211137 | Maryland |
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | R211137 | Maryland |
Profile Details
NPI number | 1093354920 |
---|---|
LBN Legal business name | Baum, Irina Konstantinovna |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 23rd, 2019 |
Last updated | Dec 23rd, 2019 - about 5 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.
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