Jenkins, Dwayne Elvon
Jenkins, Dwayne Elvon is an sole proprietor health care provider with primary practice located at 2015 Martins Grant Ct , Crownsville MD 21032-1932. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jenkins, Dwayne Elvon can be contacted via phone (410) 721-6353.Contact Information
Primary practice address
2015 Martins Grant Ct
Crownsville MD 21032-1932
Phone: (410) 721-6353
Fax: (410) 721-2071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | SC0671 | Maryland |
Profile Details
| NPI number | 1851893374 |
|---|---|
| LBN Legal business name | Jenkins, Dwayne Elvon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2018 |
| Last updated | Feb 28th, 2018 - about 7 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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