Donaldson, Gregg C

Donaldson, Gregg C is an individual health care provider with primary practice located at 912 Seton Dr , Cumberland MD 21502-1818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Donaldson, Gregg C can be contacted via phone (301) 722-3111.

Contact Information

Primary practice address
912 Seton Dr Cumberland MD 21502-1818
Phone: (301) 722-3111
Fax: (301) 722-5135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0042054 Maryland

Profile Details

NPI number 1114920576
LBN Legal business name Donaldson, Gregg C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 4th, 2013 - 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 1114920576 NPPES
Maryland MEDICAID 766241601
Maryland Other 893415
Maryland Other W3990008
Maryland MEDICAID 0011509001
Maryland MEDICAID 2000220000
Maryland Other 2100999
Maryland Other 990015534
Maryland Other 2117570
Maryland Other 528302-02
Maryland Other P14964

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