Kong, Jie
Kong, Jie is an individual health care provider with primary practice located at 10802 Hickory Ridge Rd , Columbia MD 21044-3622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kong, Jie can be contacted via phone (410) 997-1336.Contact Information
Primary practice address
10802 Hickory Ridge Rd
Columbia MD 21044-3622
Phone: (410) 997-1336
Fax: (410) 997-1636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R143501 | Maryland |
Profile Details
| NPI number | 1215040951 |
|---|---|
| LBN Legal business name | Kong, Jie |
| Credentials | CRNP MSN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jan 26th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215040951 | NPPES |
| Maryland | Other | 5707 | ELDERHEALTH |
| Maryland | MEDICAID | 038278500 | ELDERHEALTH |
| Maryland | Other | 783571 | ELDERHEALTH |
| Maryland | Other | 90192801 | ELDERHEALTH |
| Maryland | Other | 293176 | ELDERHEALTH |
| Maryland | Other | 1013404 | ELDERHEALTH |
| Maryland | MEDICAID | 1215040951 | ELDERHEALTH |
| Maryland | Other | N1510003 | ELDERHEALTH |
| Maryland | Other | 1013404 | ELDERHEALTH |
| Maryland | MEDICAID | 411436100 | ELDERHEALTH |
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