Canakis, Jerrold S.

Canakis, Jerrold S. is an individual health care provider with primary practice located at 10344 Old Ocn Blvd , Berlin MD 21811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Canakis, Jerrold S. can be contacted via phone (410) 641-2938.

Contact Information

Primary practice address
10344 Old Ocn Blvd Berlin MD 21811
Phone: (410) 641-2938
Fax: (410) 641-4904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X C10006596 Delaware
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D0059594 Maryland

Profile Details

NPI number 1700874179
LBN Legal business name Canakis, Jerrold S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Aug 22nd, 2018 - about 8 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 1700874179 NPPES
Maryland MEDICAID 400997500

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