Bertram Love, Nicole Emily

Bertram Love, Nicole Emily is an individual health care provider with primary practice located at 8415 Bellona Ln Suite 212, Towson MD 21204-2055. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Bertram Love, Nicole Emily can be contacted via phone (410) 913-3740.

Contact Information

Primary practice address
8415 Bellona Ln Suite 212 Towson MD 21204-2055
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0044675 Maryland

Profile Details

NPI number 1568416766
LBN Legal business name Bertram Love, Nicole Emily
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568416766 NPPES
Maryland Other D0044675 STATE MEDICAL LICENSE

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