Wisch, Robin I

Wisch, Robin I is an individual health care provider with primary practice located at 3100 Mountain Rd Suite E, Pasadena MD 21122-2018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wisch, Robin I can be contacted via phone (410) 360-4446.

Contact Information

Primary practice address
3100 Mountain Rd Suite E Pasadena MD 21122-2018
Fax: (410) 439-3541
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0061968 Maryland

Profile Details

NPI number 1750373866
LBN Legal business name Wisch, Robin I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated May 30th, 2013 - about 12 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 1750373866 NPPES
Other 2129389 MAMSI
Other 406069500 MAMSI
Other 64298901 MAMSI
Other 0004 MAMSI
Other 796253 MAMSI
Other 3657175 MAMSI
MEDICAID 406069500 MAMSI

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