Mayo, Douglas D

Mayo, Douglas D is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Mayo, Douglas D can be contacted via phone (410) 362-3000.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Phone: (410) 362-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X D006155 Maryland
Other Service Providers / Specialist 174400000X D0061555 Maryland

Profile Details

NPI number 1548221062
LBN Legal business name Mayo, Douglas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Jun 20th, 2012 - about 12 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 1548221062 NPPES
Maryland MEDICAID 405539000
Maryland MEDICAID 451601000
Maryland Other P00349931

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