Lord, Carl Douglas
Lord, Carl Douglas is an sole proprietor health care provider with primary practice located at 9755 Patuxent Woods Dr Ste 100 , Columbia MD 21046-2288. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lord, Carl Douglas can be contacted via phone (800) 762-6282.Contact Information
Primary practice address
9755 Patuxent Woods Dr Ste 100
Columbia MD 21046-2288
Phone: (800) 762-6282
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | D0006796 | Maryland |
Profile Details
| NPI number | 1063462349 |
|---|---|
| LBN Legal business name | Lord, Carl Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Apr 11th, 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 | 1063462349 | NPPES |
| Maryland | MEDICAID | 11457 |
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