Disharoon, Patricia Marie
Disharoon, Patricia Marie is an sole proprietor health care provider with primary practice located at 3414 St. Paul Street , Baltimore MD 21218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Disharoon, Patricia Marie can be contacted via phone (410) 889-3060.Contact Information
Primary practice address
3414 St. Paul Street
Baltimore MD 21218
Phone: (410) 889-3060
Fax: (410) 243-8176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D22419 | Maryland |
Profile Details
| NPI number | 1730175886 |
|---|---|
| LBN Legal business name | Disharoon, Patricia Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jun 9th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730175886 | NPPES |
| Maryland | MEDICAID | 792201900 |
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