Tietjens-Grillo, Lenore Marie
Tietjens-Grillo, Lenore Marie is an individual health care provider with primary practice located at 9001 Edmonston Rd Ste 40 , Greenbelt MD 20770-1004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Tietjens-Grillo, Lenore Marie can be contacted via phone (240) 790-3325.Contact Information
Primary practice address
9001 Edmonston Rd Ste 40
Greenbelt MD 20770-1004
Phone: (240) 790-3325
Fax: (301) 345-1865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | C1-0004254 | Delaware |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | D0046167 | Maryland |
Profile Details
| NPI number | 1376609248 |
|---|---|
| LBN Legal business name | Tietjens-Grillo, Lenore Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Feb 6th, 2019 - about 5 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 | 1376609248 | NPPES |
| Maryland | MEDICAID | 162081900 |
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