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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255313136 NPPES
North Carolina Other 1141E BCBSNC
North Carolina MEDICAID 891141E BCBSNC

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