Nguedjo, Jazzmon Lee
Nguedjo, Jazzmon Lee is an sole proprietor health care provider with primary practice located at 2925 Lord Baltimore Dr Suite 300, Baltimore MD 21244-2653. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nguedjo, Jazzmon Lee can be contacted via phone (410) 277-3937.Contact Information
Primary practice address
2925 Lord Baltimore Dr Suite 300
Baltimore MD 21244-2653
Phone: (410) 277-3937
Fax: (410) 281-9388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA2536 | Maryland |
Profile Details
| NPI number | 1417306697 |
|---|---|
| LBN Legal business name | Nguedjo, Jazzmon Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2016 |
| Last updated | Jan 25th, 2022 - about 4 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 | 1417306697 | NPPES |
| Maryland | Other | TA2536 | LICENCE |
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