Defeo, Jeanne H

Defeo, Jeanne H is an individual health care provider with primary practice located at 2001 Medical Pkwy , Annapolis MD 21401-3280. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Defeo, Jeanne H can be contacted via phone (443) 481-1000.

Contact Information

Primary practice address
2001 Medical Pkwy Annapolis MD 21401-3280
Phone: (443) 481-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0053207 Maryland

Profile Details

NPI number 1851379390
LBN Legal business name Defeo, Jeanne H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Oct 19th, 2007 - about 18 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 1851379390 NPPES
Maryland MEDICAID 507000702 120002000
Maryland Other LU71AN60350305
Maryland Other 3626291
Maryland Other F1250005

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