Goldbloom, Ellie P
Goldbloom, Ellie P is an individual health care provider with primary practice located at 21 Crossroads Dr Suite 400, Owings Mills MD 21117-5441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Goldbloom, Ellie P can be contacted via phone (410) 998-9100.Contact Information
Primary practice address
21 Crossroads Dr Suite 400
Owings Mills MD 21117-5441
Phone: (410) 998-9100
Fax: (410) 998-9104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0053968 | Maryland |
Profile Details
| NPI number | 1437135092 |
|---|---|
| LBN Legal business name | Goldbloom, Ellie P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Apr 16th, 2010 - about 16 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 | 1437135092 | NPPES |
| Maryland | MEDICAID | 654003100 | |
| Maryland | Other | P00759902 | |
| Maryland | Other | C31152 |
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