Mccauley, Jonathan Craig
Mccauley, Jonathan Craig is an individual health care provider with primary practice located at 655 Watkins Mill Rd , Gaithersburg MD 20879-3301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mccauley, Jonathan Craig can be contacted via phone (240) 632-4000.Contact Information
Primary practice address
655 Watkins Mill Rd
Gaithersburg MD 20879-3301
Phone: (240) 632-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | D0064498 | Maryland |
Profile Details
| NPI number | 1659391803 |
|---|---|
| LBN Legal business name | Mccauley, Jonathan Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jun 10th, 2021 - about 5 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 | 1659391803 | NPPES |
| Maryland | MEDICAID | 762671100 | |
| Maryland | MEDICAID | 410993700 |
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