Grundy, John Patrick
Grundy, John Patrick is an sole proprietor health care provider with primary practice located at 615 Main St , Laurel MD 20707-4065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Grundy, John Patrick can be contacted via phone (301) 725-3010.Contact Information
Primary practice address
615 Main St
Laurel MD 20707-4065
Phone: (301) 725-3010
Fax: (301) 725-3271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D0052388 | Maryland |
Profile Details
| NPI number | 1194775932 |
|---|---|
| LBN Legal business name | Grundy, John Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Mar 24th, 2015 - about 10 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 | 1194775932 | NPPES |
| District of Columbia | Other | 91930002 | CAREFIRST DC |
| District of Columbia | MEDICAID | 407806300 | CAREFIRST DC |
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