Radley, Michael G
Radley, Michael G is an individual health care provider with primary practice located at 17 Western Maryland Pkwy , Hagerstown MD 21740-5146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Radley, Michael G can be contacted via phone (301) 797-9240.Contact Information
Primary practice address
17 Western Maryland Pkwy
Hagerstown MD 21740-5146
Phone: (301) 797-9240
Fax: (301) 797-4119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | D0045936 | Maryland |
Profile Details
| NPI number | 1275553620 |
|---|---|
| LBN Legal business name | Radley, Michael G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Aug 31st, 2012 - about 12 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 | 1275553620 | NPPES |
| Pennsylvania | Other | 966246 | PA BLUE SHIELD PA LOC |
| Pennsylvania | Other | W2660003 | PA BLUE SHIELD PA LOC |
| Pennsylvania | Other | 53220504 | PA BLUE SHIELD PA LOC |
| Pennsylvania | Other | 140005761 | PA BLUE SHIELD PA LOC |
| Pennsylvania | Other | 436164 | PA BLUE SHIELD PA LOC |
| Pennsylvania | MEDICAID | 597381300 | PA BLUE SHIELD PA LOC |
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