Reddoch, Shirley E

Reddoch, Shirley E is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Reddoch, Shirley E can be contacted via phone (410) 955-6132.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X D60655 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D60655 Maryland

Profile Details

NPI number 1780622605
LBN Legal business name Reddoch, Shirley E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Feb 19th, 2019 - about 6 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 1780622605 NPPES
Maryland MEDICAID 407392400

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