Conaway, Jacques R
Conaway, Jacques R is an individual health care provider with primary practice located at 11107 Cathage Rd Unit 201 , Berlin MD 21811-2156. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Conaway, Jacques R can be contacted via phone (410) 912-6825.Contact Information
Primary practice address
11107 Cathage Rd Unit 201
Berlin MD 21811-2156
Phone: (410) 912-6825
Fax: (410) 912-6827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | D0055034 | Maryland |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | D0055034 | Maryland |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | D0055034 | Maryland |
Profile Details
| NPI number | 1437245362 |
|---|---|
| LBN Legal business name | Conaway, Jacques R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 29th, 2022 - about 3 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 | 1437245362 | NPPES |
| Maryland | Other | 0017 E554 | BLUE CHOICE/FEP |
| Maryland | Other | 4800365 | BLUE CHOICE/FEP |
| Maryland | Other | 290012458 | BLUE CHOICE/FEP |
| Maryland | Other | 76926302 420A | BLUE CHOICE/FEP |
| Maryland | Other | 1937706 | BLUE CHOICE/FEP |
| Maryland | Other | 296540 | BLUE CHOICE/FEP |
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