Durkee-Shock, Jessica Rose

Durkee-Shock, Jessica Rose is an individual health care provider with primary practice located at 10 Center Drive , Bethesda MD 20814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Durkee-Shock, Jessica Rose can be contacted via phone (301) 272-0628.

Contact Information

Primary practice address
10 Center Drive Bethesda MD 20814
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X MD046122 District of Columbia

Profile Details

NPI number 1285900019
LBN Legal business name Durkee-Shock, Jessica Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Sep 23rd, 2020 - about 4 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 1285900019 NPPES
District of Columbia Other MD046122 MEDICAL LICENSE

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