Siegel, Eliot Lawrence
Siegel, Eliot Lawrence is an individual health care provider with primary practice located at 22 S Greene St, Dept Of Radiology , Baltimore MD 21201-1544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Siegel, Eliot Lawrence can be contacted via phone (410) 328-3477.Contact Information
Primary practice address
22 S Greene St, Dept Of Radiology
Baltimore MD 21201-1544
Phone: (410) 328-3477
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | D0030836 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0030836 | Maryland |
Profile Details
| NPI number | 1528020906 |
|---|---|
| LBN Legal business name | Siegel, Eliot Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | May 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528020906 | NPPES |
| Maryland | MEDICAID | 408011400 | |
| Maryland | MEDICAID | 010640893 |
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