Gogerdchi, Aidin Dean
Gogerdchi, Aidin Dean is an sole proprietor health care provider with primary practice located at 1029 Light St , Baltimore MD 21230-4017. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gogerdchi, Aidin Dean can be contacted via phone (410) 752-8208.Contact Information
Primary practice address
1029 Light St
Baltimore MD 21230-4017
Phone: (410) 752-8208
Fax: (410) 752-7144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA2312 | Maryland |
Profile Details
| NPI number | 1316201668 |
|---|---|
| LBN Legal business name | Gogerdchi, Aidin Dean |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2012 |
| Last updated | May 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316201668 | NPPES |
| Maryland | Other | TA2312 | STATE LICENSE |
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