Matlaga, Brian Richard
Matlaga, Brian Richard is an individual health care provider with primary practice located at 4940 Eastern Ave , Baltimore MD 21224-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Matlaga, Brian Richard can be contacted via phone (410) 550-7739.Contact Information
Primary practice address
4940 Eastern Ave
Baltimore MD 21224-2735
Phone: (410) 550-7739
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | D64132 | Maryland |
Profile Details
| NPI number | 1427009539 |
|---|---|
| LBN Legal business name | Matlaga, Brian Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Feb 12th, 2013 - about 11 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 | 1427009539 | NPPES |
| Maryland | MEDICAID | 410696200 |
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