Poblete, Caroline H
Poblete, Caroline H is an individual health care provider with primary practice located at 3454 Ellicott Center Dr Suite 106, Ellicott City MD 21043-4113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Poblete, Caroline H can be contacted via phone (410) 461-3760.Contact Information
Primary practice address
3454 Ellicott Center Dr Suite 106
Ellicott City MD 21043-4113
Phone: (410) 461-3760
Fax: (410) 461-0526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | D45386 | Maryland |
Profile Details
| NPI number | 1750485025 |
|---|---|
| LBN Legal business name | Poblete, Caroline H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Jun 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750485025 | NPPES |
| Maryland | MEDICAID | 596105000 |
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