Igene, Ejemeare P

Igene, Ejemeare P is an individual health care provider with primary practice located at 6205 Baltimore National Pike , Catonsville MD 21228-2908. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Igene, Ejemeare P can be contacted via phone (410) 744-0199.

Contact Information

Primary practice address
6205 Baltimore National Pike Catonsville MD 21228-2908
Fax: (410) 744-0093
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618002016 Virginia
Eye and Vision Services Providers / Optometrist 152W00000X TA2237 Maryland

Profile Details

NPI number 1538466032
LBN Legal business name Igene, Ejemeare P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2011
Last updated Mar 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538466032 NPPES
Maryland MEDICAID 0721506

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