Blakeley, Jaishri O'Neill

Blakeley, Jaishri O'Neill is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Blakeley, Jaishri O'Neill can be contacted via phone (410) 502-6732.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X D0064099 Maryland

Profile Details

NPI number 1497801815
LBN Legal business name Blakeley, Jaishri O'Neill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jan 30th, 2014 - about 10 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 1497801815 NPPES
Maryland MEDICAID 013620400

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