Pantelyat, Alexander
Pantelyat, Alexander is an individual health care provider with primary practice located at 600 N Wolfe St Meyer 6-181C, Baltimore MD 21287-0005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Pantelyat, Alexander can be contacted via phone (410) 502-0133.Contact Information
Primary practice address
600 N Wolfe St Meyer 6-181C
Baltimore MD 21287-0005
Phone: (410) 502-0133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD445778 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | D77954 | Maryland |
Profile Details
| NPI number | 1295990554 |
|---|---|
| LBN Legal business name | Pantelyat, Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2008 |
| Last updated | Jul 24th, 2015 - about 11 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 | 1295990554 | NPPES |
| Maryland | MEDICAID | 080152600 |
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