Spagnolo, Brad Vincent

Spagnolo, Brad Vincent is an individual health care provider with primary practice located at 200 Hospital Dr Ste 600, Glen Burnie MD 21061-5865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Spagnolo, Brad Vincent can be contacted via phone (410) 766-3937.

Contact Information

Primary practice address
200 Hospital Dr Ste 600 Glen Burnie MD 21061-5865
Phone: (410) 766-3937
Fax: (410) 761-4386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0056098 Maryland

Profile Details

NPI number 1689679425
LBN Legal business name Spagnolo, Brad Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jan 13th, 2010 - about 16 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 1689679425 NPPES
Maryland MEDICAID 111002100

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