Poland, Jeffrey Alan

Poland, Jeffrey Alan is an individual health care provider with primary practice located at 2 Frederick St , Cumberland MD 21502-2329. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Poland, Jeffrey Alan can be contacted via phone (301) 777-7777.

Contact Information

Primary practice address
2 Frederick St Cumberland MD 21502-2329
Phone: (301) 777-7777
Fax: (301) 777-7798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TA0940 Maryland

Profile Details

NPI number 1518969302
LBN Legal business name Poland, Jeffrey Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Dec 15th, 2019 - about 7 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 1518969302 NPPES
Maryland MEDICAID 438848800
Maryland Other LV23

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