Odonovan, John Crossan
Odonovan, John Crossan is an individual health care provider with primary practice located at 2112 Dundalk Ave , Baltimore MD 21222-3714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Odonovan, John Crossan can be contacted via phone (410) 284-1133.Contact Information
Primary practice address
2112 Dundalk Ave
Baltimore MD 21222-3714
Phone: (410) 284-1133
Fax: (410) 284-8371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D07632 | Maryland |
Profile Details
| NPI number | 1700859295 |
|---|---|
| LBN Legal business name | Odonovan, John Crossan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Apr 7th, 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 | 1700859295 | NPPES |
| Maryland | MEDICAID | 022731500 |
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