Iglehart, Iredell Waddell

Iglehart, Iredell Waddell is an sole proprietor health care provider with primary practice located at 6301 N Charles St Suite 5, Baltimore MD 21212-1047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Iglehart, Iredell Waddell can be contacted via phone (410) 372-0300.

Contact Information

Primary practice address
6301 N Charles St Suite 5 Baltimore MD 21212-1047
Fax: (410) 372-0304
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D33400 Maryland

Profile Details

NPI number 1841289337
LBN Legal business name Iglehart, Iredell Waddell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated May 2nd, 2011 - about 15 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 1841289337 NPPES
Maryland MEDICAID 286881400

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