Fillmore, Jeffrey

Fillmore, Jeffrey is an individual health care provider with primary practice located at 400 W 7Th St , Frederick MD 21701-4506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fillmore, Jeffrey can be contacted via phone (240) 566-3330.

Contact Information

Primary practice address
400 W 7Th St Frederick MD 21701-4506
Phone: (240) 566-3330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D0031086 Maryland

Profile Details

NPI number 1275577090
LBN Legal business name Fillmore, Jeffrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 10th, 2010 - about 16 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 1275577090 NPPES
Maryland MEDICAID 359821701
Maryland MEDICAID 76267100

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