Iliff, Nicholas

Iliff, Nicholas is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Iliff, Nicholas can be contacted via phone (410) 955-5080.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Phone: (410) 955-5080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D14362 Maryland

Profile Details

NPI number 1457390106
LBN Legal business name Iliff, Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Feb 8th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457390106 NPPES
Maryland MEDICAID 189241000

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