Rupert, Edward Gaynor

Rupert, Edward Gaynor is an sole proprietor health care provider with primary practice located at 8000 Knollwood St , Brandywine MD 20613-7656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Rupert, Edward Gaynor can be contacted via phone (301) 372-1689.

Contact Information

Primary practice address
8000 Knollwood St Brandywine MD 20613-7656
Phone: (301) 372-1689
Fax: (301) 372-1689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X D0021364 Maryland

Profile Details

NPI number 1528180684
LBN Legal business name Rupert, Edward Gaynor
Credentials M.D.,P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2007
Last updated Sep 11th, 2009 - about 15 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 1528180684 NPPES
Maryland Other 7114 BCBS OF MD
Maryland Other 3521 BCBS OF MD

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