Bishop, Justin Avery

Bishop, Justin Avery is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21205-2101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bishop, Justin Avery can be contacted via phone (410) 955-3580.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21205-2101
Phone: (410) 955-3580
Fax: (410) 614-7726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X D70023 Maryland

Profile Details

NPI number 1053463141
LBN Legal business name Bishop, Justin Avery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Feb 4th, 2013 - about 13 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 1053463141 NPPES
Maryland MEDICAID 035296900

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