Belledonne, Mario O
Belledonne, Mario O is an sole proprietor health care provider with primary practice located at 8200 Tuckerman Ln , Potomac MD 20854-3744. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Belledonne, Mario O can be contacted via phone (301) 605-7878.Contact Information
Primary practice address
8200 Tuckerman Ln
Potomac MD 20854-3744
Phone: (301) 605-7878
Fax: (301) 605-7878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D23177 | Maryland |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | D23177 | Maryland |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | D0023177 | Maryland |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | D23177 | Maryland |
Profile Details
| NPI number | 1033129457 |
|---|---|
| LBN Legal business name | Belledonne, Mario O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jun 29th, 2021 - about 4 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 | 1033129457 | NPPES |
| Maryland | MEDICAID | 3233311100 | |
| Maryland | Other | 83742 | |
| Maryland | Other | 879065 | |
| Maryland | Other | 379065 | |
| Maryland | Other | 6009-001 |
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