Orellano, Tristan Jorge
Orellano, Tristan Jorge is an sole proprietor health care provider with primary practice located at 7350 Van Dusen Rd Suite 340, Laurel MD 20707-5264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Orellano, Tristan Jorge can be contacted via phone (301) 725-5557.Contact Information
Primary practice address
7350 Van Dusen Rd Suite 340
Laurel MD 20707-5264
Phone: (301) 725-5557
Fax: (301) 490-7637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D0017638 | Maryland |
Profile Details
| NPI number | 1043322431 |
|---|---|
| LBN Legal business name | Orellano, Tristan Jorge |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 3rd, 2010 - about 15 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 | 1043322431 | NPPES |
| Maryland | MEDICAID | 003971300 |
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