Bartlett, Edward L

Bartlett, Edward L is an individual health care provider with primary practice located at 3100 Wyman Park Drive Suite 359A, Baltimore MD 21211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bartlett, Edward L can be contacted via phone (410) 338-3016.

Contact Information

Primary practice address
3100 Wyman Park Drive Suite 359A Baltimore MD 21211
Fax: (410) 338-3420
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D25696 Maryland

Profile Details

NPI number 1316041585
LBN Legal business name Bartlett, Edward L
Credentials MD MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Nov 10th, 2011 - about 15 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 1316041585 NPPES
Maryland MEDICAID 304111500

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