Poulsen, Norman A

Poulsen, Norman A is an individual health care provider with primary practice located at 1132 Annapolis Rd , Odenton MD 21113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Poulsen, Norman A can be contacted via phone (410) 874-1400.

Contact Information

Primary practice address
1132 Annapolis Rd Odenton MD 21113
Fax: (410) 874-1411
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D20645 Maryland

Profile Details

NPI number 1306940671
LBN Legal business name Poulsen, Norman A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated May 9th, 2013 - about 11 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 1306940671 NPPES
Maryland MEDICAID 189101400

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