Fawaz, Jamal
Fawaz, Jamal is an individual health care provider with primary practice located at 13215 Brook Lane , Hagerstown MD 21742-1435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fawaz, Jamal can be contacted via phone (301) 733-0331.Contact Information
Primary practice address
13215 Brook Lane
Hagerstown MD 21742-1435
Phone: (301) 733-0331
Fax: (301) 733-4038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 47955 | Maryland |
Profile Details
| NPI number | 1003881335 |
|---|---|
| LBN Legal business name | Fawaz, Jamal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Feb 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003881335 | NPPES |
| Maryland | MEDICAID | 723510100 |
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