Tietjens-Grillo, Lenore Marie

Tietjens-Grillo, Lenore Marie is an individual health care provider with primary practice located at 9001 Edmonston Rd Ste 40 , Greenbelt MD 20770-1004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Tietjens-Grillo, Lenore Marie can be contacted via phone (240) 790-3325.

Contact Information

Primary practice address
9001 Edmonston Rd Ste 40 Greenbelt MD 20770-1004
Phone: (240) 790-3325
Fax: (301) 345-1865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X C1-0004254 Delaware
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X D0046167 Maryland

Profile Details

NPI number 1376609248
LBN Legal business name Tietjens-Grillo, Lenore Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Feb 6th, 2019 - about 7 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 1376609248 NPPES
Maryland MEDICAID 162081900

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