Bethea, Jordyn Deborah
Bethea, Jordyn Deborah is an sole proprietor health care provider with primary practice located at 3001 S Hanover St Ste 216A , Baltimore MD 21225-1233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bethea, Jordyn Deborah can be contacted via phone (410) 350-2106.Contact Information
Primary practice address
3001 S Hanover St Ste 216A
Baltimore MD 21225-1233
Phone: (410) 350-2106
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | C0007175 | Maryland |
Profile Details
| NPI number | 1265872105 |
|---|---|
| LBN Legal business name | Bethea, Jordyn Deborah |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2013 |
| Last updated | Oct 10th, 2019 - 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 | 1265872105 | NPPES |
| Florida | MEDICAID | 018266800 |
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