Weiner, Jeremy Paul
Weiner, Jeremy Paul is an sole proprietor health care provider with primary practice located at 5601 Loch Raven Blvd Pob #100, Baltimore MD 21239-2905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Weiner, Jeremy Paul can be contacted via phone (410) 323-9210.Contact Information
Primary practice address
5601 Loch Raven Blvd Pob #100
Baltimore MD 21239-2905
Phone: (410) 323-9210
Fax: (410) 323-9525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D0032984 | Maryland |
Profile Details
| NPI number | 1053304329 |
|---|---|
| LBN Legal business name | Weiner, Jeremy Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1053304329 | NPPES |
| Maryland | MEDICAID | 9355006 00 |
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