Daffern, Gene
Daffern, Gene is an sole proprietor health care provider with primary practice located at 2 North Ave Suite 102, Bel Air MD 21014-2303. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Daffern, Gene can be contacted via phone (410) 838-6345.Contact Information
Primary practice address
2 North Ave Suite 102
Bel Air MD 21014-2303
Phone: (410) 838-6345
Fax: (410) 838-1595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0024998 | Maryland |
Profile Details
| NPI number | 1558337949 |
|---|---|
| LBN Legal business name | Daffern, Gene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jan 13th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558337949 | NPPES |
| Maryland | MEDICAID | 378421500 |
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