Provider Demographics
NPI:1871157362
Name:SINCLAIR, PAULA (DDIV)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:DDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 POWDER MILL RD STE 450-Z13
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2675
Mailing Address - Country:US
Mailing Address - Phone:301-477-4588
Mailing Address - Fax:301-477-4583
Practice Address - Street 1:4600 POWDER MILL RD STE 450Z13
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2675
Practice Address - Country:US
Practice Address - Phone:301-477-4588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3957253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care