Grodin, Michael H
Grodin, Michael H is an individual health care provider with primary practice located at 1209 York Rd Suite 200, Lutherville MD 21093-6220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Grodin, Michael H can be contacted via phone (410) 821-9490.Contact Information
Primary practice address
1209 York Rd Suite 200
Lutherville MD 21093-6220
Phone: (410) 821-9490
Fax: (410) 821-9495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | H0062012 | Maryland |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0102201638 | Virginia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | DO034176 | District of Columbia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MB08472300 | New Jersey |
Profile Details
| NPI number | 1184670366 |
|---|---|
| LBN Legal business name | Grodin, Michael H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Apr 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184670366 | NPPES |
| Maryland | MEDICAID | 405458000 | |
| Maryland | Other | 143192VYZ |
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