Nicholas, Earl
Nicholas, Earl is an individual health care provider with primary practice located at 201 Castleton Place , Upper Marlboro MD 20774-1445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Nicholas, Earl can be contacted via phone (410) 750-4283.Contact Information
Primary practice address
201 Castleton Place
Upper Marlboro MD 20774-1445
Phone: (410) 750-4283
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | D0031603 | Maryland |
Profile Details
| NPI number | 1770694994 |
|---|---|
| LBN Legal business name | Nicholas, Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1770694994 | NPPES |
| Maryland | MEDICAID | 34G9310 01 |
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