Poblete, Caroline H

Poblete, Caroline H is an individual health care provider with primary practice located at 3454 Ellicott Center Dr Suite 106, Ellicott City MD 21043-4113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Poblete, Caroline H can be contacted via phone (410) 461-3760.

Contact Information

Primary practice address
3454 Ellicott Center Dr Suite 106 Ellicott City MD 21043-4113
Fax: (410) 461-0526
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X D45386 Maryland

Profile Details

NPI number 1750485025
LBN Legal business name Poblete, Caroline H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jun 16th, 2014 - about 10 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 1750485025 NPPES
Maryland MEDICAID 596105000

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