Dunmore-Griffith, Jacquelyn B.
Dunmore-Griffith, Jacquelyn B. is an individual health care provider with primary practice located at 8116 Good Luck Rd Ste Ll05 , Lanham MD 20706-3502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Dunmore-Griffith, Jacquelyn B. can be contacted via phone (240) 542-3060.Contact Information
Primary practice address
8116 Good Luck Rd Ste Ll05
Lanham MD 20706-3502
Phone: (240) 542-3060
Fax: (240) 542-3061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | MD20575 | District of Columbia |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | D0046901 | Maryland |
Profile Details
| NPI number | 1831166487 |
|---|---|
| LBN Legal business name | Dunmore-Griffith, Jacquelyn B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Feb 28th, 2022 - about 2 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 | 1831166487 | NPPES |
| Maryland | MEDICAID | 500000901 | |
| Maryland | Other | P00458394 | |
| Maryland | MEDICAID | 714014200 | |
| Maryland | Other | 0002 | |
| Maryland | MEDICAID | 011624500 | |
| Maryland | Other | 01178473 | |
| Maryland | Other | 621105-03 |
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