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
Phone: (410) 542-1725
Fax: (410) 542-7468
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205984796 | NPPES |
| Maryland | MEDICAID | 211691000 |
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