Ghobrial, Tom

Ghobrial, Tom is an sole proprietor health care provider with primary practice located at 12252 Williams Rd Se Suite 101, Cumberland MD 21502-7960. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ghobrial, Tom can be contacted via phone (240) 362-7333.

Contact Information

Primary practice address
12252 Williams Rd Se Suite 101 Cumberland MD 21502-7960
Phone: (240) 362-7333
Fax: (240) 362-7391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0051379 Maryland

Profile Details

NPI number 1518928746
LBN Legal business name Ghobrial, Tom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2006
Last updated Feb 8th, 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 1518928746 NPPES
Maryland MEDICAID 745163600
Maryland Other WO33
Maryland MEDICAID 0098553000
Maryland Other LQ21
Maryland Other 451653
Maryland Other 200039203
Maryland Other 6529101-004

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