Ichniowski, Michael J.
Ichniowski, Michael J. is an individual health care provider with primary practice located at 8600 Lasalle Rd Potomac Building Suite 105, Baltimore MD 21286-2001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Ichniowski, Michael J. can be contacted via phone (410) 823-5232.Contact Information
Primary practice address
8600 Lasalle Rd Potomac Building Suite 105
Baltimore MD 21286-2001
Phone: (410) 823-5232
Fax: (410) 296-0257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | D0023994 | Maryland |
Profile Details
| NPI number | 1902873169 |
|---|---|
| LBN Legal business name | Ichniowski, Michael J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1902873169 | NPPES |
| Maryland | Other | M13245 | CDS |
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