Michalke, Jeremy Andrew

Michalke, Jeremy Andrew is an individual health care provider with primary practice located at 6701 N Charles St Kaiser Permanente Greater Baltimore Medical Center, Towson MD 21204-6808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Michalke, Jeremy Andrew can be contacted via phone (443) 849-2000.

Contact Information

Primary practice address
6701 N Charles St Kaiser Permanente Greater Baltimore Medical Center Towson MD 21204-6808
Phone: (443) 849-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C7-0002946 Delaware
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D66035 Maryland

Profile Details

NPI number 1104951292
LBN Legal business name Michalke, Jeremy Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jun 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104951292 NPPES
Maryland MEDICAID 412740400
Maryland MEDICAID 451601000
Maryland Other P00418710

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