Davalos, Julio G
Davalos, Julio G is an individual health care provider with primary practice located at 806 Landmark Dr Suite 118, Glen Burnie MD 21061-4980. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Davalos, Julio G can be contacted via phone (410) 780-9400.Contact Information
Primary practice address
806 Landmark Dr Suite 118
Glen Burnie MD 21061-4980
Phone: (410) 780-9400
Fax: (410) 787-1911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | D72502 | Maryland |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 21678 | West Virginia |
Profile Details
| NPI number | 1548343064 |
|---|---|
| LBN Legal business name | Davalos, Julio G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2006 |
| Last updated | Apr 25th, 2014 - about 10 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 | 1548343064 | NPPES |
| Maryland | MEDICAID | 043860000 | |
| Maryland | Other | E279/0107 |
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