Mitnick, Alan H
Mitnick, Alan H is an individual health care provider with primary practice located at 5400 Old Court Rd Suite 105, Randallstown MD 21133-5100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mitnick, Alan H can be contacted via phone (410) 922-1133.Contact Information
Primary practice address
5400 Old Court Rd Suite 105
Randallstown MD 21133-5100
Phone: (410) 922-1133
Fax: (410) 922-9740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0007985 | Maryland |
Profile Details
| NPI number | 1568407526 |
|---|---|
| LBN Legal business name | Mitnick, Alan H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1568407526 | NPPES |
| Maryland | MEDICAID | 026021500 |
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