Mcrill, Connie M
Mcrill, Connie M is an individual health care provider with primary practice located at 1001 Pine Heights Ave Ste 101, Baltimore MD 21229-5266. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Mcrill, Connie M can be contacted via phone (410) 644-9515.Contact Information
Primary practice address
1001 Pine Heights Ave Ste 101
Baltimore MD 21229-5266
Phone: (410) 644-9515
Fax: (410) 644-8250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D0052935 | Maryland |
Profile Details
| NPI number | 1235135625 |
|---|---|
| LBN Legal business name | Mcrill, Connie M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | May 5th, 2011 - about 14 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 | 1235135625 | NPPES |
| Maryland | MEDICAID | 875500100 | |
| Maryland | Other | 2035241 | |
| Maryland | Other | 259627 | |
| Maryland | Other | 5322-0005 |
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