Olivares, Enrique B

Olivares, Enrique B is an individual health care provider with primary practice located at 723 E Patapsco Ave , Baltimore MD 21225-1934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Olivares, Enrique B can be contacted via phone (410) 355-1532.

Contact Information

Primary practice address
723 E Patapsco Ave Baltimore MD 21225-1934
Phone: (410) 355-1532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X DOO46313 Maryland

Profile Details

NPI number 1053309674
LBN Legal business name Olivares, Enrique B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jan 2nd, 2014 - about 12 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 1053309674 NPPES
Maryland Other 1500772 EVERCARE
Maryland MEDICAID 677520900 EVERCARE
Maryland Other 9895R EVERCARE

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