Perry-Fabrizio, Gerren Shinar

Perry-Fabrizio, Gerren Shinar is an individual health care provider with primary practice located at 3450 Fort Meade Rd Suite 109, Laurel MD 20724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Perry-Fabrizio, Gerren Shinar can be contacted via phone (301) 317-8660.

Contact Information

Primary practice address
3450 Fort Meade Rd Suite 109 Laurel MD 20724
Fax: (301) 317-8663
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0059182 Maryland

Profile Details

NPI number 1356328116
LBN Legal business name Perry-Fabrizio, Gerren Shinar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated May 29th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356328116 NPPES
Maryland MEDICAID 024205501
Maryland MEDICAID 037324200

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