Laurens, Matthew Brent
Laurens, Matthew Brent is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Laurens, Matthew Brent can be contacted via phone (410) 706-5328.Contact Information
Primary practice address
22 S Greene St
Baltimore MD 21201-1544
Phone: (410) 706-5328
Fax: (410) 706-1204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | D63115 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 63115 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | D63115 | Maryland |
Profile Details
| NPI number | 1548310220 |
|---|---|
| LBN Legal business name | Laurens, Matthew Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Mar 9th, 2018 - about 6 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 | 1548310220 | NPPES |
| Maryland | MEDICAID | 012499100 |
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