Zollicoffer, Michael L

Zollicoffer, Michael L is an individual health care provider with primary practice located at 2605 Banister Rd , Baltimore MD 21215-6505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Zollicoffer, Michael L can be contacted via phone (410) 542-1725.

Contact Information

Primary practice address
2605 Banister Rd Baltimore MD 21215-6505
Fax: (410) 542-7468
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X D0036634 Maryland

Profile Details

NPI number 1205984796
LBN Legal business name Zollicoffer, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jun 26th, 2024 - about last year

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 1205984796 NPPES
Maryland MEDICAID 211691000

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