Cline, Casper Ezra

Cline, Casper Ezra is an individual health care provider with primary practice located at 300 W 9Th St , Frederick MD 21701-4541. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cline, Casper Ezra can be contacted via phone (301) 662-8119.

Contact Information

Primary practice address
300 W 9Th St Frederick MD 21701-4541
Phone: (301) 662-8119
Fax: (301) 696-0985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D16428 Maryland

Profile Details

NPI number 1063493609
LBN Legal business name Cline, Casper Ezra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated May 12th, 2008 - about 18 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 1063493609 NPPES
Maryland Other 110047911 MEDICARE RAILROAD
Maryland MEDICAID 252321300 MEDICARE RAILROAD
Maryland Other 1063493609 MEDICARE RAILROAD

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