Richard, Elisabeth G

Richard, Elisabeth G is an individual health care provider with primary practice located at 10753 Falls Rd Suite 355, Pavilion Ii, Lutherville MD 21093-4535. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Richard, Elisabeth G can be contacted via phone (410) 847-3700.

Contact Information

Primary practice address
10753 Falls Rd Suite 355, Pavilion Ii Lutherville MD 21093-4535
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D62684 Maryland

Profile Details

NPI number 1932154093
LBN Legal business name Richard, Elisabeth G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Apr 3rd, 2015 - about 9 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 1932154093 NPPES
Maryland MEDICAID 408272900

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