Korotki, Leo Israel

Korotki, Leo Israel is an sole proprietor health care provider with primary practice located at 1205 York Rd Suite 22, Lutherville MD 21093-6210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Korotki, Leo Israel can be contacted via phone (410) 823-9333.

Contact Information

Primary practice address
1205 York Rd Suite 22 Lutherville MD 21093-6210
Fax: (410) 823-9335
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X D0024017 Maryland

Profile Details

NPI number 1710984232
LBN Legal business name Korotki, Leo Israel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Feb 17th, 2016 - about 8 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 1710984232 NPPES
Maryland Other 218835 MAMSI/ALLIANCE
Maryland Other S042 MAMSI/ALLIANCE
Maryland Other 5037 MAMSI/ALLIANCE

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