Kravitz, Alan Bruce
Kravitz, Alan Bruce is an individual health care provider with primary practice located at 11119 Rockville Pike Suite 105, Rockville MD 20852-3143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kravitz, Alan Bruce can be contacted via phone (301) 493-9400.Contact Information
Primary practice address
11119 Rockville Pike Suite 105
Rockville MD 20852-3143
Phone: (301) 493-9400
Fax: (301) 493-9412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D37295 | Maryland |
Profile Details
| NPI number | 1295825206 |
|---|---|
| LBN Legal business name | Kravitz, Alan Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Mar 16th, 2009 - about 17 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 | 1295825206 | NPPES |
| Maryland | MEDICAID | 295241600 | |
| Maryland | Other | C14034 | |
| Maryland | Other | 010026389 |
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