Slack, Michael C

Slack, Michael C is an individual health care provider with primary practice located at 22 S Greene St N5W70C, Baltimore MD 21201-1544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Slack, Michael C can be contacted via phone (410) 328-2427.

Contact Information

Primary practice address
22 S Greene St N5W70C Baltimore MD 21201-1544
Phone: (410) 328-2427
Fax: (443) 462-3137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD31860 District of Columbia
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X D55380 Maryland

Profile Details

NPI number 1588758940
LBN Legal business name Slack, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 5th, 2015 - about 10 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 1588758940 NPPES
District of Columbia MEDICAID 028095100
District of Columbia MEDICAID 202009201
District of Columbia Other 0614
District of Columbia MEDICAID 202009200
District of Columbia MEDICAID 6731538

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