Pine, Elyse Dara
Pine, Elyse Dara is an individual health care provider with primary practice located at 1111 N Charles St , Baltimore MD 21201-5505. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Pine, Elyse Dara can be contacted via phone (410) 837-2050.Contact Information
Primary practice address
1111 N Charles St
Baltimore MD 21201-5505
Phone: (410) 837-2050
Fax: (410) 752-1374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | D72266 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D72266 | Maryland |
Profile Details
| NPI number | 1861606378 |
|---|---|
| LBN Legal business name | Pine, Elyse Dara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Jan 31st, 2022 - about 3 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 | 1861606378 | NPPES |
| Maryland | MEDICAID | 554414900 |
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