Jerosimich, Carol A.

Jerosimich, Carol A. is an individual health care provider with primary practice located at 170 Jennifer Rd Ste 240 , Annapolis MD 21401-7995. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Jerosimich, Carol A. can be contacted via phone (410) 571-9000.

Contact Information

Primary practice address
170 Jennifer Rd Ste 240 Annapolis MD 21401-7995
Phone: (410) 571-9000
Fax: (410) 266-1507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0001915 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C0001915 Maryland

Profile Details

NPI number 1811996291
LBN Legal business name Jerosimich, Carol A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Oct 6th, 2020 - about 6 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 1811996291 NPPES
Other 487760200 FEDERAL WORKMANS COMP

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