Datiles, Manuel J

Datiles, Manuel J is an individual health care provider with primary practice located at 5963 Exchange Dr Ste 100 , Eldersburg MD 21784-9256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Datiles, Manuel J can be contacted via phone (410) 549-0900.

Contact Information

Primary practice address
5963 Exchange Dr Ste 100 Eldersburg MD 21784-9256
Fax: (410) 549-6121
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0079527 Maryland

Profile Details

NPI number 1043577000
LBN Legal business name Datiles, Manuel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2012
Last updated Jan 6th, 2021 - about 4 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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