Sullivan, Lois Bauer

Sullivan, Lois Bauer is an individual health care provider with primary practice located at 1205 York Rd Suite 18, Lutherville MD 21093-6210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sullivan, Lois Bauer can be contacted via phone (410) 583-6800.

Contact Information

Primary practice address
1205 York Rd Suite 18 Lutherville MD 21093-6210
Phone: (410) 583-6800
Fax: (410) 583-5259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0052677 Maryland

Profile Details

NPI number 1013980176
LBN Legal business name Sullivan, Lois Bauer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated May 11th, 2016 - 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 1013980176 NPPES
Maryland MEDICAID 699171800

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