God, Bethany Jewell

God, Bethany Jewell is an sole proprietor health care provider with primary practice located at 47149 Buse Rd Bldg 1370 Med Home Port, Pediatrics, Patuxent River MD 20670-1540. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. God, Bethany Jewell can be contacted via phone (301) 342-1418.

Contact Information

Primary practice address
47149 Buse Rd Bldg 1370 Med Home Port, Pediatrics Patuxent River MD 20670-1540
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101252363 Virginia

Profile Details

NPI number 1215222104
LBN Legal business name God, Bethany Jewell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2011
Last updated Jul 20th, 2016 - about 10 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.

Request for update

Popular Providers