Siegel, Evan L

Siegel, Evan L is an individual health care provider with primary practice located at 14995 Shady Grove Rd Ste 250 , Rockville MD 20850-8726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Siegel, Evan L can be contacted via phone (301) 942-7600.

Contact Information

Primary practice address
14995 Shady Grove Rd Ste 250 Rockville MD 20850-8726
Fax: (301) 942-3521
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X D0038512 Maryland

Profile Details

NPI number 1578562617
LBN Legal business name Siegel, Evan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jan 3rd, 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 1578562617 NPPES
Other 30647 MAMSI
Other 52136603 MAMSI
Other 30647 MAMSI
Other 0004330685 MAMSI
Other 0008 MAMSI
MEDICAID 53084100 MAMSI
Other 30421 MAMSI
Other 777472 MAMSI
Other 493061 MAMSI
Other 89402 MAMSI

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