Dormu, Jeffery Jawni
Dormu, Jeffery Jawni is an individual health care provider with primary practice located at 8730 Cherry Lane Suite 10, Laurel MD 20707. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Dormu, Jeffery Jawni can be contacted via phone (301) 497-1590.Contact Information
Primary practice address
8730 Cherry Lane Suite 10
Laurel MD 20707
Phone: (301) 497-1590
Fax: (240) 334-4781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MB07611900 | New Jersey |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | H0065639 | Maryland |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | DO034245 | District of Columbia |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | H0065639 | Maryland |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | D0034245 | District of Columbia |
Profile Details
| NPI number | 1366430316 |
|---|---|
| LBN Legal business name | Dormu, Jeffery Jawni |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Jul 18th, 2012 - about 14 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 | 1366430316 | NPPES |
| Maryland | MEDICAID | 031107300 | |
| Maryland | MEDICAID | 0048615 | |
| Maryland | MEDICAID | 054737700 |
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