Ettlinger, Paul M.

Ettlinger, Paul M. is an individual health care provider with primary practice located at 7920 Mcdonogh Rd Suite 101, Owings Mills MD 21117-5249. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ettlinger, Paul M. can be contacted via phone (410) 356-9939.

Contact Information

Primary practice address
7920 Mcdonogh Rd Suite 101 Owings Mills MD 21117-5249
Fax: (410) 356-9987
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 01788 Maryland
Chiropractic Providers / Chiropractor 111N00000X S01788 Maryland

Profile Details

NPI number 1912900770
LBN Legal business name Ettlinger, Paul M.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 1st, 2012 - about 12 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 1912900770 NPPES
Maryland MEDICAID 216603800

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