Ryan, Jacqueline

Ryan, Jacqueline is an individual health care provider with primary practice located at 11116 Medical Campus Rd , Hagerstown MD 21742-6710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ryan, Jacqueline can be contacted via phone (301) 790-8804.

Contact Information

Primary practice address
11116 Medical Campus Rd Hagerstown MD 21742-6710
Phone: (301) 790-8804
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0057078 Maryland

Profile Details

NPI number 1851360192
LBN Legal business name Ryan, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Feb 28th, 2023 - about 3 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 1851360192 NPPES
District of Columbia Other 0017 CAREFIRST BCBS
District of Columbia Other 7539450 CAREFIRST BCBS
District of Columbia Other 3112374 CAREFIRST BCBS
District of Columbia Other 61003502 CAREFIRST BCBS
District of Columbia Other 110243912 CAREFIRST BCBS
District of Columbia MEDICAID 827402900 CAREFIRST BCBS

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