Edlow, Richard Craig
Edlow, Richard Craig is an individual health care provider with primary practice located at 611 Frederick Rd Ste 101, Catonsville MD 21228-4779. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Edlow, Richard Craig can be contacted via phone (410) 747-1221.Contact Information
Primary practice address
611 Frederick Rd Ste 101
Catonsville MD 21228-4779
Phone: (410) 747-1221
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA0787 | Maryland |
Profile Details
| NPI number | 1104822899 |
|---|---|
| LBN Legal business name | Edlow, Richard Craig |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jul 6th, 2012 - about 14 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 | 1104822899 | NPPES |
| Maryland | Other | 69770802 | CAREFIRST BCBS |
| Maryland | Other | 410029001 | CAREFIRST BCBS |
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