Ditto, Allen Wilson
Ditto, Allen Wilson is an individual health care provider with primary practice located at 13620 Crayton Boulevard , Hagerstown MD 21742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ditto, Allen Wilson can be contacted via phone (240) 313-9890.Contact Information
Primary practice address
13620 Crayton Boulevard
Hagerstown MD 21742
Phone: (240) 313-9890
Fax: (240) 313-9890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D26806 | Maryland |
Profile Details
| NPI number | 1497750707 |
|---|---|
| LBN Legal business name | Ditto, Allen Wilson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Nov 27th, 2018 - about 7 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 | 1497750707 | NPPES |
| Maryland | MEDICAID | 256671100 |
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