Deren, James B.

Deren, James B. is an individual health care provider with primary practice located at 1050 W Industrial Blvd , Cumberland MD 21502-4331. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Deren, James B. can be contacted via phone (240) 964-9355.

Contact Information

Primary practice address
1050 W Industrial Blvd Cumberland MD 21502-4331
Phone: (240) 964-9355
Fax: (240) 964-9356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0042053 Maryland
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25568 West Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X D0042053 Maryland

Profile Details

NPI number 1053310078
LBN Legal business name Deren, James B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jan 25th, 2024 - about 2 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 1053310078 NPPES
Maryland Other 53450104 CAREFIRST BC BS
Maryland MEDICAID 751321600 CAREFIRST BC BS
Maryland Other 080100953 CAREFIRST BC BS
Maryland Other K029 0001 CAREFIRST BC BS
Maryland MEDICAID 0044030000 CAREFIRST BC BS

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