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
Phone: (301) 342-1418
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
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