Daliva, Agnes Lopez
Daliva, Agnes Lopez is an sole proprietor health care provider with primary practice located at 215 North St Ste A , Elkton MD 21921-5505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Daliva, Agnes Lopez can be contacted via phone (410) 398-8899.Contact Information
Primary practice address
215 North St Ste A
Elkton MD 21921-5505
Phone: (410) 398-8899
Fax: (410) 398-1477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D55214 | Maryland |
Profile Details
| NPI number | 1629016613 |
|---|---|
| LBN Legal business name | Daliva, Agnes Lopez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Aug 29th, 2014 - 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 | 1629016613 | NPPES |
| Maryland | MEDICAID | 698400200 |
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