Tanner, Alice
Tanner, Alice is an sole proprietor health care provider with primary practice located at 1404 Crain Hwy S Suite 109, Glen Burnie MD 21061-4085. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tanner, Alice can be contacted via phone (410) 768-2231.Contact Information
Primary practice address
1404 Crain Hwy S Suite 109
Glen Burnie MD 21061-4085
Phone: (410) 768-2231
Fax: (410) 760-4522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0032734 | Maryland |
Profile Details
| NPI number | 1184646309 |
|---|---|
| LBN Legal business name | Tanner, Alice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Nov 18th, 2015 - about 11 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 | 1184646309 | NPPES |
| Maryland | MEDICAID | 407731800 | |
| Maryland | Other | 354440-01 |
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