Thomas, Radcliffe
Thomas, Radcliffe is an sole proprietor health care provider with primary practice located at 4000 W Northern Pkwy , Baltimore MD 21215-4473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Thomas, Radcliffe can be contacted via phone (410) 542-7700.Contact Information
Primary practice address
4000 W Northern Pkwy
Baltimore MD 21215-4473
Phone: (410) 542-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | D42683 | Maryland |
Profile Details
| NPI number | 1558337618 |
|---|---|
| LBN Legal business name | Thomas, Radcliffe |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Apr 16th, 2008 - about 18 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 | 1558337618 | NPPES |
| Maryland | MEDICAID | 204571100 |
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