Bishop, Justin Avery
Bishop, Justin Avery is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21205-2101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bishop, Justin Avery can be contacted via phone (410) 955-3580.Contact Information
Primary practice address
600 N Wolfe St
Baltimore MD 21205-2101
Phone: (410) 955-3580
Fax: (410) 614-7726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | D70023 | Maryland |
Profile Details
| NPI number | 1053463141 |
|---|---|
| LBN Legal business name | Bishop, Justin Avery |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Feb 4th, 2013 - about 11 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 | 1053463141 | NPPES |
| Maryland | MEDICAID | 035296900 |
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