Pilgrim, Karl O
Pilgrim, Karl O is an sole proprietor health care provider with primary practice located at 3611 Branch Ave Suite #301, Temple Hills MD 20748-1242. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pilgrim, Karl O can be contacted via phone (301) 326-3409.Contact Information
Primary practice address
3611 Branch Ave Suite #301
Temple Hills MD 20748-1242
Phone: (301) 326-3409
Fax: (301) 702-2777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13209 | Maryland |
Profile Details
| NPI number | 1699811901 |
|---|---|
| LBN Legal business name | Pilgrim, Karl O |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Dec 29th, 2016 - about 9 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 | 1699811901 | NPPES |
| Maryland | MEDICAID | 9181185,167043 |
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