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Contact Information

ELISE BUCKWALTER
22 S GREENE ST
BALTIMORE, MD21201-1544
 Phone: 484-888-1311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics, Critical Care

363LP0222X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELISE BUCKWALTER · (Female)

NPI # 1699281576
Status Active
Credentials
Entity Individual
Enumeration date 12/14/2017
Last updated 12/14/2017 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MD License # R230796
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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