Chircus, Allan Jay

Chircus, Allan Jay is an sole proprietor health care provider with primary practice located at 5310 Old Court Rd Ste 201, Randallstown MD 21133-5243. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Chircus, Allan Jay can be contacted via phone (410) 655-1144.

Contact Information

Primary practice address
5310 Old Court Rd Ste 201 Randallstown MD 21133-5243
Phone: (410) 655-1144
Fax: (410) 922-7059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X D29085 Maryland

Profile Details

NPI number 1093708810
LBN Legal business name Chircus, Allan Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Feb 15th, 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 1093708810 NPPES
Other 0400947 AMERICHOICE
Other 817268 AMERICHOICE
Other T411 AMERICHOICE
Other T411 AMERICHOICE
MEDICAID 064141300 AMERICHOICE
Other 0641413 AMERICHOICE
Other 0456522 AMERICHOICE

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