Spates, Irene
Spates, Irene is an individual health care provider with primary practice located at 887 E Fort Ave , Baltimore MD 21230-5117. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Spates, Irene can be contacted via phone (443) 681-6455.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 16594 | Maryland |
Profile Details
| NPI number | 1770071334 |
|---|---|
| LBN Legal business name | Spates, Irene |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2018 |
| Last updated | Nov 23rd, 2023 - about 3 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 | 1770071334 | NPPES |
| Maryland | MEDICAID | 119591300 |
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