Provider Demographics
NPI:1023259355
Name:ALLISON LINQUIST, MD, PC
Entity type:Organization
Organization Name:ALLISON LINQUIST, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LINQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-465-2681
Mailing Address - Street 1:6518 MEADOWRIDGE RD
Mailing Address - Street 2:STE # 106
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6115
Mailing Address - Country:US
Mailing Address - Phone:410-465-2681
Mailing Address - Fax:
Practice Address - Street 1:6518 MEADOWRIDGE RD
Practice Address - Street 2:STE # 106
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6115
Practice Address - Country:US
Practice Address - Phone:410-465-2681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD 60242207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty