Olexo, Stephen M
Olexo, Stephen M is an individual health care provider with primary practice located at 2000 Medical Pkwy Suite 607, Baltimore MD 21264-4916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Olexo, Stephen M can be contacted via phone (410) 266-1644.Contact Information
Primary practice address
2000 Medical Pkwy Suite 607
Baltimore MD 21264-4916
Phone: (410) 266-1644
Fax: (410) 266-1642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | D0058510 | Maryland |
Profile Details
| NPI number | 1285623116 |
|---|---|
| LBN Legal business name | Olexo, Stephen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | May 19th, 2011 - about 13 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 | 1285623116 | NPPES |
| Maryland | Other | CL4599 110242506 | RR MEDICARE |
| Maryland | MEDICAID | 269900101 400095100 | RR MEDICARE |
| Maryland | Other | KJ86AN 61598701 | RR MEDICARE |
| Maryland | Other | S3520008 | RR MEDICARE |
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