Reynolds-Freeman, Carol Ivy
Reynolds-Freeman, Carol Ivy is an individual health care provider with primary practice located at 4 W Rolling Crossroads Suite 100, Baltimore MD 21228-6280. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Reynolds-Freeman, Carol Ivy can be contacted via phone (410) 869-0100.Contact Information
Primary practice address
4 W Rolling Crossroads Suite 100
Baltimore MD 21228-6280
Phone: (410) 869-0100
Fax: (410) 869-0460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | D0027958 | Maryland |
Profile Details
| NPI number | 1841281706 |
|---|---|
| LBN Legal business name | Reynolds-Freeman, Carol Ivy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Dec 23rd, 2013 - 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 | 1841281706 | NPPES |
| Mh | MEDICAID | 316481100 | |
| Mh | Other | X963 |
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