De Leon, Dina Rea

De Leon, Dina Rea is an individual 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. De Leon, Dina Rea 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0060808 Maryland

Profile Details

NPI number 1912945312
LBN Legal business name De Leon, Dina Rea
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Sep 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912945312 NPPES
Maryland MEDICAID 404426600

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