Wathne, Jarl Thomas
Wathne, Jarl Thomas is an individual health care provider with primary practice located at 11110 Medical Campus Rd Ste 126, Hagerstown MD 21742-6799. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wathne, Jarl Thomas can be contacted via phone (301) 714-4375.Contact Information
Primary practice address
11110 Medical Campus Rd Ste 126
Hagerstown MD 21742-6799
Phone: (301) 714-4375
Fax: (301) 714-4365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D0046383 | Maryland |
Profile Details
| NPI number | 1801898002 |
|---|---|
| LBN Legal business name | Wathne, Jarl Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Mar 12th, 2008 - about 18 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 | 1801898002 | NPPES |
| Maryland | MEDICAID | 148591100 793251101 | |
| Maryland | Other | 53302402 S186 | |
| Maryland | Other | 516773 GRP 593934 | |
| Maryland | Other | 0005 H883 | |
| Maryland | Other | 2172963 | |
| Maryland | Other | 516615 GRP 59855 | |
| Maryland | Other | 50002834 GP 02426700 |
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