Miclay, Jane Lenore

Miclay, Jane Lenore is an individual health care provider with primary practice located at 203 Hospital Dr Suite B100, Glen Burnie MD 21061-6904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Miclay, Jane Lenore can be contacted via phone (410) 553-8351.

Contact Information

Primary practice address
203 Hospital Dr Suite B100 Glen Burnie MD 21061-6904
Phone: (410) 553-8351
Fax: (410) 553-8352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C0003683 Maryland

Profile Details

NPI number 1124281951
LBN Legal business name Miclay, Jane Lenore
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Nov 9th, 2009 - about 17 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 1124281951 NPPES
Maryland MEDICAID 406923400

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