Lamertina, Charles Ignatius
Lamertina, Charles Ignatius is an individual health care provider with primary practice located at 301 Hospital Dr , Glen Burnie MD 21061-5803. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lamertina, Charles Ignatius can be contacted via phone (410) 787-4000.Contact Information
Primary practice address
301 Hospital Dr
Glen Burnie MD 21061-5803
Phone: (410) 787-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0001533 | Maryland |
Profile Details
| NPI number | 1417910837 |
|---|---|
| LBN Legal business name | Lamertina, Charles Ignatius |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Apr 16th, 2008 - about 18 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 | 1417910837 | NPPES |
| Maryland | Other | 305714 | AMERIGROUP |
| Maryland | Other | 5284 | AMERIGROUP |
| Maryland | Other | 5318552 | AMERIGROUP |
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