Seidenberg, Jonathan Alan
Seidenberg, Jonathan Alan is an individual health care provider with primary practice located at 2023 Pulaski Highway , Havre De Grace MD 21078. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Seidenberg, Jonathan Alan can be contacted via phone (410) 939-6477.Contact Information
Primary practice address
2023 Pulaski Highway
Havre De Grace MD 21078
Phone: (410) 939-6477
Fax: (410) 939-6555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D38724 | Maryland |
Profile Details
| NPI number | 1790787927 |
|---|---|
| LBN Legal business name | Seidenberg, Jonathan Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Nov 11th, 2020 - about 6 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 | 1790787927 | NPPES |
| Other | W2450003 | FEDERAL BLUESHIELD | |
| MEDICAID | 544711900 | FEDERAL BLUESHIELD | |
| Other | 42492601 | FEDERAL BLUESHIELD |
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