Glass-Royal, Mark

Glass-Royal, Mark is an individual health care provider with primary practice located at 400 W 7Th St , Frederick MD 21701-4506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Glass-Royal, Mark can be contacted via phone (240) 566-1720.

Contact Information

Primary practice address
400 W 7Th St Frederick MD 21701-4506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D39842 Maryland

Profile Details

NPI number 1255361887
LBN Legal business name Glass-Royal, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated May 27th, 2009 - about 15 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 1255361887 NPPES
Maryland Other 300020369 RAILROAD MEDICARE

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