Phelan, Jason Robert

Phelan, Jason Robert is an individual health care provider with primary practice located at 975 Solomons Island Rd N , Prince Frederick MD 20678-3917. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Phelan, Jason Robert can be contacted via phone (410) 535-3079.

Contact Information

Primary practice address
975 Solomons Island Rd N Prince Frederick MD 20678-3917
Phone: (410) 535-3079
Fax: (410) 535-2220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1053734897
LBN Legal business name Phelan, Jason Robert
Credentials BA-ADP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2014
Last updated Jan 30th, 2014 - about 11 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.

Request for update

Popular Providers