Canakis, Jerrold S.
Canakis, Jerrold S. is an individual health care provider with primary practice located at 10344 Old Ocn Blvd , Berlin MD 21811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Canakis, Jerrold S. can be contacted via phone (410) 641-2938.Contact Information
Primary practice address
10344 Old Ocn Blvd
Berlin MD 21811
Phone: (410) 641-2938
Fax: (410) 641-4904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | C10006596 | Delaware |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | D0059594 | Maryland |
Profile Details
| NPI number | 1700874179 |
|---|---|
| LBN Legal business name | Canakis, Jerrold S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Aug 22nd, 2018 - about 7 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 | 1700874179 | NPPES |
| Maryland | MEDICAID | 400997500 |
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