Mewborne, Jeffrey Dunman
Mewborne, Jeffrey Dunman is an individual health care provider with primary practice located at 600 N Wolfe Street , Baltimore MD 21264-5758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Mewborne, Jeffrey Dunman can be contacted via phone (410) 955-5000.Contact Information
Primary practice address
600 N Wolfe Street
Baltimore MD 21264-5758
Phone: (410) 955-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 9601003 | North Carolina |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | D96853 | Maryland |
Profile Details
| NPI number | 1255313136 |
|---|---|
| LBN Legal business name | Mewborne, Jeffrey Dunman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jun 28th, 2023 - about 3 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 | 1255313136 | NPPES |
| North Carolina | Other | 1141E | BCBSNC |
| North Carolina | MEDICAID | 891141E | BCBSNC |
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