Marcus, Pamela Ellen

Marcus, Pamela Ellen is an sole proprietor health care provider with primary practice located at 14460 Old Mill Rd Suite 201, Upper Marlboro MD 20772-3092. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Marcus, Pamela Ellen can be contacted via phone (301) 952-9286.

Contact Information

Primary practice address
14460 Old Mill Rd Suite 201 Upper Marlboro MD 20772-3092
Phone: (301) 952-9286
Fax: (301) 952-9287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X R052316 Maryland

Profile Details

NPI number 1972629350
LBN Legal business name Marcus, Pamela Ellen
Credentials RN APRN, PMH, BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Oct 17th, 2011 - about 13 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 1972629350 NPPES
Maryland MEDICAID 786410800

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