Gambrill, John

Gambrill, John is an sole proprietor health care provider with primary practice located at 715 Maiden Choice Ln , Catonsville MD 21228-5999. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gambrill, John can be contacted via phone (410) 247-5602.

Contact Information

Primary practice address
715 Maiden Choice Ln Catonsville MD 21228-5999
Fax: (410) 242-1756
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D15995 Maryland

Profile Details

NPI number 1710033022
LBN Legal business name Gambrill, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2007
Last updated Mar 19th, 2024 - about last year

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 1710033022 NPPES
Maryland MEDICAID 200591360

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