Djikiage, Jack S

Djikiage, Jack S is an sole proprietor health care provider with primary practice located at 3611 Autumn Glen Circle , Burtonsville MD 20866. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Djikiage, Jack S can be contacted via phone (240) 645-5101.

Contact Information

Primary practice address
3611 Autumn Glen Circle Burtonsville MD 20866
Phone: (240) 645-5101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1265797609
LBN Legal business name Djikiage, Jack S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2012
Last updated Jul 11th, 2012 - about 13 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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