Cancino, Gwenneth O
Cancino, Gwenneth O is an individual health care provider with primary practice located at 115 W Bel Air Avenue , Aberdeen MD 21001-3221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cancino, Gwenneth O can be contacted via phone (410) 272-3377.Contact Information
Primary practice address
115 W Bel Air Avenue
Aberdeen MD 21001-3221
Phone: (410) 272-3377
Fax: (410) 273-1479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0046268 | Maryland |
Profile Details
| NPI number | 1487657227 |
|---|---|
| LBN Legal business name | Cancino, Gwenneth O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Nov 8th, 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 | 1487657227 | NPPES |
| Maryland | Other | H9660002 | CAREFIRST OF DC |
| Maryland | Other | 53276204 | CAREFIRST OF DC |
| Maryland | MEDICAID | 323951900 | CAREFIRST OF DC |
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