Harrison, Gwyn
Harrison, Gwyn is an sole proprietor health care provider with primary practice located at 1050 W Industrial Blvd Suite 18, Cumberland MD 21502-4331. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Harrison, Gwyn can be contacted via phone (301) 777-7525.Contact Information
Primary practice address
1050 W Industrial Blvd Suite 18
Cumberland MD 21502-4331
Phone: (301) 777-7525
Fax: (301) 777-0184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D33776 | Maryland |
Profile Details
| NPI number | 1295728327 |
|---|---|
| LBN Legal business name | Harrison, Gwyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jun 9th, 2010 - about 14 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 | 1295728327 | NPPES |
| Maryland | Other | 219775 | MAMSI |
| Maryland | Other | 4102 | MAMSI |
| Maryland | Other | 219775 | MAMSI |
| Maryland | Other | 4102 | MAMSI |
| Maryland | Other | 4667874 | MAMSI |
| Maryland | MEDICAID | 0091154000 | MAMSI |
| Maryland | MEDICAID | 408181100 | MAMSI |
| Maryland | Other | 219775 | MAMSI |
| Maryland | Other | 160004761 | MAMSI |
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