Showalter, Ileana

Showalter, Ileana is an individual health care provider with primary practice located at 301 Saint Paul Pl Suite 612, Baltimore MD 21202-2102. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Showalter, Ileana can be contacted via phone (410) 837-6126.

Contact Information

Primary practice address
301 Saint Paul Pl Suite 612 Baltimore MD 21202-2102
Fax: (410) 539-3418
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0061870 Maryland

Profile Details

NPI number 1750370342
LBN Legal business name Showalter, Ileana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Dec 8th, 2009 - about 17 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 1750370342 NPPES
Maryland MEDICAID 405908500

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