Dietrick, Donovan

Dietrick, Donovan is an individual health care provider with primary practice located at 9105 Franklin Square Dr Suite 316, Baltimore MD 21237-3930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Dietrick, Donovan can be contacted via phone (443) 777-7831.

Contact Information

Primary practice address
9105 Franklin Square Dr Suite 316 Baltimore MD 21237-3930
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0027086 Maryland

Profile Details

NPI number 1245209212
LBN Legal business name Dietrick, Donovan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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